Visit the HL7 website
Visit the FHIR website

Primary Care

0.1.0-dft-preBallot   Canada flag
  • Index
  • Home
  • Business Context
    • Architectural Considerations
    • Use Cases
    • Future Enhancements
    • Consolidation Methodology
  • Technical Context
    • Conformance Guidance
    • Mappings
  • FHIR Artifacts
    • FHIR Artifacts
    • Actors
    • Profiles
    • Extensions
    • Search
    • Data Types
    • Capability Statement
    • Terminology
    • Examples
    • Packages
  • Change Log
    1. Index
    2. FHIR Artifacts
    3. Profiles
    4. Composition

dft-preBallot - This is the first draft of the P-Care IG. For a full list of available versions, see the Directory of published versions

Composition

Links

Profile

composition

Derived from

http://hl7.org/fhir/StructureDefinition/Composition

Examples

Generic Clinical Document Composition

Description

The structure and clinical attestation of a patient-focused clinical document. Patient-summary requirements are defined separately in the P-Care Patient Summary Composition profile.

References to this resource

Resource Content

  • Tree view
  • Overview
  • XML
  • JSON
PCareComposition (Composition)CComposition
There are no (further) constraints on this element
Element id
Composition
Short description

A set of resources composed into a single coherent clinical statement with clinical attestation

Definition

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.).

Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

Data type

Composition

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
Mappings
  • rim: Entity. Role, or Act
  • workflow: Event
  • rim: Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
  • cda: ClinicalDocument
  • fhirdocumentreference: when described by DocumentReference
idΣ0..1id
There are no (further) constraints on this element
Element id
Composition.id
Short description

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.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
metaΣ0..1Meta
There are no (further) constraints on this element
Element id
Composition.meta
Short description

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.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Composition.implicitRules
Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
language0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.language
Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
MaxValueSetAllLanguages
Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
text0..1Narrative
There are no (further) constraints on this element
Element id
Composition.text
Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id
Composition.contained
Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
extensionC0..*ExtensionElement id
Composition.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
RecipientsO C0..*Extension(Reference(PCareOrganization | PCarePractitioner))Element id
Composition.extension:Recipients
Short description

P-Care Document Recipient

Alternate names

extensions, user content

Definition

Identifies an intended recipient of a clinical document or report.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension(Reference(PCareOrganization | PCarePractitioner))

Extension URL

PCareDocumentRecipient

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
modifierExtension?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.modifierExtension
Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
identifierO Σ1..1IdentifierElement id
Composition.identifier
Short description

Version-independent identifier for the Composition

Definition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
  • rim: Document.id / Document.setId
  • cda: .setId
  • fhirdocumentreference: DocumentReference.masterIdentifier
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemO Σ1..1uriElement id
Composition.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
valueO Σ1..1stringElement id
Composition.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Composition.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Composition.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
statusO Σ ?!1..1codeBindingElement id
Composition.status
Short description

preliminary | final | amended | entered-in-error

Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Comments

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.

Some 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.

Data type

code

Binding

The workflow/clinical status of the composition.

CompositionStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.status
  • w5: FiveWs.status
  • rim: 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"
  • cda: n/a
  • fhirdocumentreference: DocumentReference.status
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeO Σ1..1CodeableConceptBindingElement id
Composition.type
Short description

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.

Requirements

Key metadata element describing the composition, used in searching/filtering.

Comments

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.

Data type

CodeableConcept

Binding

Type of a composition.

FHIRDocumentTypeCodes (preferred)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.code
  • w5: FiveWs.class
  • rim: ./code
  • cda: .code
  • fhirdocumentreference: DocumentReference.type
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.type.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.type.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
codingO Σ0..*CodingElement id
Composition.type.coding
Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.type.coding.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
systemO Σ0..1uriElement id
Composition.type.coding.system
Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
versionΣ0..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.version
Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
codeO Σ1..1codeElement id
Composition.type.coding.code
Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
displayO Σ1..1stringElement id
Composition.type.coding.display
Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.display.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*ExtensionElement id
Composition.type.coding.display.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
translationO C0..*Extension(Complex)Element id
Composition.type.coding.display.extension:translation
Short description

Language Translation (Localization)

Alternate names

extensions, user content

Definition

Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension(Complex)

Extension URL

Translation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
  • rim: ST.translation
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
value0..1System.String
There are no (further) constraints on this element
Element id
Composition.type.coding.display.value
Short description

Primitive value for string

Definition

Primitive value for string

Data type

System.String

Maximum string length

1048576

userSelectedΣ0..1boolean
There are no (further) constraints on this element
Element id
Composition.type.coding.userSelected
Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
textO Σ0..1stringElement id
Composition.type.text
Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
categoryO Σ0..*CodeableConceptElement id
Composition.category
Short description

Categorization of Composition

Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Comments

This is a metadata field from XDS/MHD.

Data type

CodeableConcept

Binding

High-level kind of a clinical document at a macro level.

DocumentClassValueSet (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.subject
  • w5: FiveWs.class
  • rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
  • cda: n/a
  • fhirdocumentreference: DocumenttReference.category
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.category.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.category.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
codingO Σ0..*CodingElement id
Composition.category.coding
Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.category.coding.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
systemO Σ0..1uriElement id
Composition.category.coding.system
Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
versionΣ0..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.version
Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
codeO Σ1..1codeElement id
Composition.category.coding.code
Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
displayO Σ1..1stringElement id
Composition.category.coding.display
Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.display.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*ExtensionElement id
Composition.category.coding.display.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
translationO C0..*Extension(Complex)Element id
Composition.category.coding.display.extension:translation
Short description

Language Translation (Localization)

Alternate names

extensions, user content

Definition

Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension(Complex)

Extension URL

Translation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
  • rim: ST.translation
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
value0..1System.String
There are no (further) constraints on this element
Element id
Composition.category.coding.display.value
Short description

Primitive value for string

Definition

Primitive value for string

Data type

System.String

Maximum string length

1048576

userSelectedΣ0..1boolean
There are no (further) constraints on this element
Element id
Composition.category.coding.userSelected
Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
textO Σ0..1stringElement id
Composition.category.text
Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
subjectO Σ C1..1Reference(PCarePatient)Element id
Composition.subject
Short description

Patient who is the subject of the clinical document

Definition

The patient whose care is described by this clinical document.

Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Comments

For clinical documents, this is usually the patient.

Data type

Reference(PCarePatient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.subject[x]
  • rim: .participation[typeCode="SBJ"].role[typeCode="PAT"]
  • cda: .recordTarget
  • fhirdocumentreference: DocumentReference.subject
  • w5: FiveWs.subject
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.subject.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.subject.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C1..1stringElement id
Composition.subject.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.subject.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.subject.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.subject.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
encounterO Σ C0..1Reference(Encounter)Element id
Composition.encounter
Short description

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.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(Encounter)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.context
  • w5: FiveWs.context
  • rim: unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
  • cda: .componentOf.encompassingEncounter
  • fhirdocumentreference: DocumentReference.context.encounter
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.encounter.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.encounter.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C1..1stringElement id
Composition.encounter.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.encounter.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.encounter.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.encounter.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
dateO Σ1..1dateTimeElement id
Composition.date
Short description

Composition editing time

Definition

The composition editing time, when the composition was last logically changed by the author.

Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x]
  • w5: FiveWs.done[x]
  • rim: .effectiveTime[type="TS"]
  • cda: .effectiveTime
  • fhirdocumentreference: DocumentReference.content.attachment.date, DocumentReference.created
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
authorO Σ C1..*Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | Device | RelatedPerson)Element id
Composition.author
Short description

Who and/or what authored the clinical document

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.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | Device | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.performer
  • w5: FiveWs.author
  • rim: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
  • cda: .author.assignedAuthor
  • fhirdocumentreference: DocumentReference.agent
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.author.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.author.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C1..1stringElement id
Composition.author.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.author.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.author.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.author.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
titleO Σ1..1stringElement id
Composition.title
Short description

Human Readable name/title

Definition

Official human-readable label for the composition.

Comments

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.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: ./title
  • cda: .title
  • fhirdocumentreference: DocumentReference.description, DocumentReference.content.attachment.title
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
confidentialityΣ0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.confidentiality
Short description

As defined by affinity domain

Definition

The code specifying the level of confidentiality of the Composition.

Comments

The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

Data type

code

Binding

Codes specifying the level of confidentiality of the composition.

v3.ConfidentialityClassification (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .confidentialityCode
  • cda: .confidentialityCode
  • fhirdocumentreference: DocumentReference.securityLabel
attester0..*BackboneElement
There are no (further) constraints on this element
Element id
Composition.attester
Short description

Attests to accuracy of composition

Definition

A participant who has attested to the accuracy of the composition/document.

Requirements

Identifies responsibility for the accuracy of the composition content.

Comments

Only list each attester once.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
  • cda: .authenticator/.legalAuthenticator
  • fhirdocumentreference: DocumentReference.authenticator
id0..1string
There are no (further) constraints on this element
Element id
Composition.attester.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.attester.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.attester.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
mode1..1codeBinding
There are no (further) constraints on this element
Element id
Composition.attester.mode
Short description

personal | professional | legal | official

Definition

The type of attestation the authenticator offers.

Requirements

Indicates the level of authority of the attestation.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Binding

The way in which a person authenticated a composition.

CompositionAttestationMode (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: unique(./modeCode)
  • cda: implied by .authenticator/.legalAuthenticator
time0..1dateTime
There are no (further) constraints on this element
Element id
Composition.attester.time
Short description

When the composition was attested

Definition

When the composition was attested by the party.

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: ./time[type="TS" and isNormalDatatype()]
  • cda: .authenticator.time
partyC0..1Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | RelatedPerson)Element id
Composition.attester.party
Short description

Who attested the composition

Definition

Who attested the composition in the specified way.

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.witness
  • rim: ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
  • cda: .authenticator.assignedEnttty
custodianO Σ C1..1Reference(PCareOrganization)Element id
Composition.custodian
Short description

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.

Requirements

Identifies where to go to find the current version, where to report issues, etc.

Comments

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.

Data type

Reference(PCareOrganization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
  • cda: .custodian.assignedCustodian
  • fhirdocumentreference: DocumentReference.custodian
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.custodian.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.custodian.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C1..1stringElement id
Composition.custodian.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.custodian.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.custodian.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.custodian.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
relatesToO0..*BackboneElementElement id
Composition.relatesTo
Short description

Relationships to other compositions/documents

Definition

Relationships that this composition has with other compositions or documents that already exist.

Comments

A document is a version specific composition.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .outboundRelationship
  • cda: .relatedDocument
  • fhirdocumentreference: DocumentReference.relatesTo
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.relatesTo.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.relatesTo.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.relatesTo.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
codeO1..1codeBindingElement id
Composition.relatesTo.code
Short description

replaces | transforms | signs | appends

Definition

The type of relationship that this composition has with anther composition or document.

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Data type

code

Binding

The type of relationship between documents.

DocumentRelationshipType (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .outboundRelationship.typeCode
  • cda: .relatedDocument.typeCode
  • fhirdocumentreference: DocumentReference.relatesTo.code
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
target[x]O1..1Element id
Composition.relatesTo.target[x]
Short description

Target of the relationship

Definition

The target composition/document of this relationship.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .target[classCode="DOC", moodCode="EVN"].id
  • cda: .relatedDocument.id
  • fhirdocumentreference: DocumentReference.relatesTo.target
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
targetIdentifierIdentifier
There are no (further) constraints on this element
Data type

Identifier

targetReferenceReference(Composition)
There are no (further) constraints on this element
Data type

Reference(Composition)

eventO Σ0..*BackboneElementElement id
Composition.event
Short description

The clinical service(s) being documented

Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
  • cda: .documentationOf.serviceEvent
  • fhirdocumentreference: DocumentReference.event
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.event.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
codeΣ0..*CodeableConcept
There are no (further) constraints on this element
Element id
Composition.event.code
Short description

Code(s) that apply to the event being documented

Definition

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

Comments

An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

Data type

CodeableConcept

Binding

This list of codes represents the main clinical acts being documented.

ActCode (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: .code
  • cda: .code
  • fhirdocumentreference: DocumentReference.event.code
periodO Σ C1..1PeriodElement id
Composition.event.period
Short description

The period covered by the documentation

Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • rim: .effectiveTime
  • cda: .effectiveTime
  • fhirdocumentreference: DocumentReference.event.period
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.event.period.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.period.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
startO Σ C1..1dateTimeElement id
Composition.event.period.start
Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: DR.1
  • rim: ./low
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
endO Σ C0..1dateTimeElement id
Composition.event.period.end
Short description

End time with inclusive boundary, if not ongoing

Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: DR.2
  • rim: ./high
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
detailO Σ C0..*Reference(Resource)Element id
Composition.event.detail
Short description

Resources describing the clinical event

Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Comments

Reference the resources relevant to the document's clinical context. This may include a ServiceRequest for a referral, but the profile does not require a referral use case or a ServiceRequest.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: .outboundRelationship[typeCode="SUBJ"].target
  • cda: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.event.detail.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.detail.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C1..1stringElement id
Composition.event.detail.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.event.detail.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.event.detail.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.event.detail.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
sectionO C1..*BackboneElementElement id
Composition.section
Short description

Sections composing the clinical document

Definition

The root of the sections that make up the composition.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • cmp-1: A section must contain at least one of text, entries, or sub-sections
    text.exists() or entry.exists() or section.exists()
  • cmp-2: A section can only have an emptyReason if it is empty
    emptyReason.empty() or entry.empty()
Mappings
  • rim: n/a
  • rim: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
  • cda: .component.structuredBody.component.section
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id1..1string
There are no (further) constraints on this element
Element id
Composition.section.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
title0..1string
There are no (further) constraints on this element
Element id
Composition.section.title
Short description

Label for section (e.g. for ToC)

Alternate names

header, label, caption

Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: ./title
  • cda: .title
codeO0..1CodeableConceptElement id
Composition.section.code
Short description

Classification of section (recommended)

Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Data type

CodeableConcept

Binding

Classification of a section of a composition/document.

DocumentSectionCodes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: ./code
  • cda: .code
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.code.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
codingO Σ1..1CodingElement id
Composition.section.code.coding
Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.code.coding.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
systemO Σ1..1uriElement id
Composition.section.code.coding.system
Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
versionΣ0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.version
Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
codeO Σ1..1codeElement id
Composition.section.code.coding.code
Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
displayO Σ1..1stringElement id
Composition.section.code.coding.display
Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*ExtensionElement id
Composition.section.code.coding.display.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
translationO C0..*Extension(Complex)Element id
Composition.section.code.coding.display.extension:translation
Short description

Language Translation (Localization)

Alternate names

extensions, user content

Definition

Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension(Complex)

Extension URL

Translation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
  • rim: ST.translation
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
value0..1System.String
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display.value
Short description

Primitive value for string

Definition

Primitive value for string

Data type

System.String

Maximum string length

1048576

userSelectedΣ0..1boolean
There are no (further) constraints on this element
Element id
Composition.section.code.coding.userSelected
Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
textO Σ0..1stringElement id
Composition.section.code.text
Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
authorC0..*Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
There are no (further) constraints on this element
Element id
Composition.section.author
Short description

Who and/or what authored the section

Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Requirements

Identifies who is responsible for the content.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.author
  • rim: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
  • cda: .author.assignedAuthor
focusC0..1Reference(Resource)
There are no (further) constraints on this element
Element id
Composition.section.focus
Short description

Who/what the section is about, when it is not about the subject of composition

Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • cda: .subject? (CDA did not differentiate between subject and focus)
textO C0..1NarrativeElement id
Composition.section.text
Short description

Text summary of the section, for human interpretation

Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, cmp-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: .text
  • cda: .text
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
mode0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.section.mode
Short description

working | snapshot | changes

Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Data type

code

Binding

The processing mode that applies to this section.

ListMode (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.class
  • rim: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
  • cda: n/a
orderedBy0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.section.orderedBy
Short description

Order of section entries

Definition

Specifies the order applied to the items in the section entries.

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

Data type

CodeableConcept

Binding

What order applies to the items in the entry.

ListOrderCodes (preferred)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
  • cda: n/a
entryO C0..*Reference(Resource)Element id
Composition.section.entry
Short description

A reference to data that supports this section

Definition

A reference to the actual resource from which the narrative in the section is derived.

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, cmp-2

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
  • cda: .entry
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.entry.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.entry.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C1..1stringElement id
Composition.section.entry.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.section.entry.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.section.entry.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.section.entry.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
emptyReasonC0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.section.emptyReason
Short description

Why the section is empty

Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

Data type

CodeableConcept

Binding

If a section is empty, why it is empty.

ListEmptyReasons (preferred)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, cmp-2

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
  • cda: n/a
sectionC0..*see (section)
There are no (further) constraints on this element
Element id
Composition.section.section
Short description

Nested Section

Definition

A nested sub-section within this section.

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Conditions

The cardinality or value of this element may be affected by these constraints: cmp-1

Mappings
  • rim: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
  • cda: .component.section
PCareComposition (Composition)CComposition
There are no (further) constraints on this element
Element id
Composition
Short description

A set of resources composed into a single coherent clinical statement with clinical attestation

Definition

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.).

Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

Data type

Composition

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
Mappings
  • rim: Entity. Role, or Act
  • workflow: Event
  • rim: Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
  • cda: ClinicalDocument
  • fhirdocumentreference: when described by DocumentReference
idΣ0..1id
There are no (further) constraints on this element
Element id
Composition.id
Short description

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.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

metaΣ0..1Meta
There are no (further) constraints on this element
Element id
Composition.meta
Short description

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.

Data type

Meta

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Composition.implicitRules
Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
language0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.language
Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
MaxValueSetAllLanguages
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
text0..1Narrative
There are no (further) constraints on this element
Element id
Composition.text
Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id
Composition.contained
Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings
  • rim: N/A
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.extension
Short description

Extension

Definition

An Extension

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
RecipientsO C0..*Extension(Reference(PCareOrganization | PCarePractitioner))
There are no (further) constraints on this element
Element id
Composition.extension:Recipients
Short description

P-Care Document Recipient

Definition

Identifies an intended recipient of a clinical document or report.

Data type

Extension(Reference(PCareOrganization | PCarePractitioner))

Extension URL

PCareDocumentRecipient

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
modifierExtension?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.modifierExtension
Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
identifierO Σ1..1Identifier
There are no (further) constraints on this element
Element id
Composition.identifier
Short description

Version-independent identifier for the Composition

Definition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.identifier
  • w5: FiveWs.identifier
  • rim: Document.id / Document.setId
  • cda: .setId
  • fhirdocumentreference: DocumentReference.masterIdentifier
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.5
  • rim: Role.code or implied by context
systemO Σ1..1uri
There are no (further) constraints on this element
Element id
Composition.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
valueO Σ1..1string
There are no (further) constraints on this element
Element id
Composition.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
periodΣ0..1Period
There are no (further) constraints on this element
Element id
Composition.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Composition.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
statusO Σ ?!1..1codeBinding
There are no (further) constraints on this element
Element id
Composition.status
Short description

preliminary | final | amended | entered-in-error

Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Comments

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.

Some 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.

Data type

code

Binding

The workflow/clinical status of the composition.

CompositionStatus (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.status
  • w5: FiveWs.status
  • rim: 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"
  • cda: n/a
  • fhirdocumentreference: DocumentReference.status
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeO Σ1..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.type
Short description

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.

Requirements

Key metadata element describing the composition, used in searching/filtering.

Comments

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.

Data type

CodeableConcept

Binding

Type of a composition.

FHIRDocumentTypeCodes (preferred)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.code
  • w5: FiveWs.class
  • rim: ./code
  • cda: .code
  • fhirdocumentreference: DocumentReference.type
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.type.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.type.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
codingO Σ0..*Coding
There are no (further) constraints on this element
Element id
Composition.type.coding
Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.type.coding.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
systemO Σ0..1uri
There are no (further) constraints on this element
Element id
Composition.type.coding.system
Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
versionΣ0..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.version
Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
codeO Σ1..1code
There are no (further) constraints on this element
Element id
Composition.type.coding.code
Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Data type

code

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
displayO Σ1..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.display
Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.type.coding.display.id
Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.type.coding.display.extension
Short description

Extension

Definition

An Extension

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
translationO C0..*Extension(Complex)
There are no (further) constraints on this element
Element id
Composition.type.coding.display.extension:translation
Short description

Language Translation (Localization)

Definition

Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

Data type

Extension(Complex)

Extension URL

Translation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: ST.translation
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
value0..1System.String
There are no (further) constraints on this element
Element id
Composition.type.coding.display.value
Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

userSelectedΣ0..1boolean
There are no (further) constraints on this element
Element id
Composition.type.coding.userSelected
Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
textO Σ0..1string
There are no (further) constraints on this element
Element id
Composition.type.text
Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
categoryO Σ0..*CodeableConcept
There are no (further) constraints on this element
Element id
Composition.category
Short description

Categorization of Composition

Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Comments

This is a metadata field from XDS/MHD.

Data type

CodeableConcept

Binding

High-level kind of a clinical document at a macro level.

DocumentClassValueSet (example)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.subject
  • w5: FiveWs.class
  • rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
  • cda: n/a
  • fhirdocumentreference: DocumenttReference.category
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.category.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.category.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
codingO Σ0..*Coding
There are no (further) constraints on this element
Element id
Composition.category.coding
Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.category.coding.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
systemO Σ0..1uri
There are no (further) constraints on this element
Element id
Composition.category.coding.system
Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
versionΣ0..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.version
Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
codeO Σ1..1code
There are no (further) constraints on this element
Element id
Composition.category.coding.code
Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Data type

code

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
displayO Σ1..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.display
Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.category.coding.display.id
Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.category.coding.display.extension
Short description

Extension

Definition

An Extension

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
translationO C0..*Extension(Complex)
There are no (further) constraints on this element
Element id
Composition.category.coding.display.extension:translation
Short description

Language Translation (Localization)

Definition

Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

Data type

Extension(Complex)

Extension URL

Translation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: ST.translation
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
value0..1System.String
There are no (further) constraints on this element
Element id
Composition.category.coding.display.value
Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

userSelectedΣ0..1boolean
There are no (further) constraints on this element
Element id
Composition.category.coding.userSelected
Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
textO Σ0..1string
There are no (further) constraints on this element
Element id
Composition.category.text
Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
subjectO Σ1..1Reference(PCarePatient)
There are no (further) constraints on this element
Element id
Composition.subject
Short description

Patient who is the subject of the clinical document

Definition

The patient whose care is described by this clinical document.

Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Comments

For clinical documents, this is usually the patient.

Data type

Reference(PCarePatient)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.subject[x]
  • rim: .participation[typeCode="SBJ"].role[typeCode="PAT"]
  • cda: .recordTarget
  • fhirdocumentreference: DocumentReference.subject
  • w5: FiveWs.subject
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.subject.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.subject.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C1..1string
There are no (further) constraints on this element
Element id
Composition.subject.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.subject.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.subject.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.subject.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
encounterO Σ0..1Reference(Encounter)
There are no (further) constraints on this element
Element id
Composition.encounter
Short description

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.

Data type

Reference(Encounter)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.context
  • w5: FiveWs.context
  • rim: unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
  • cda: .componentOf.encompassingEncounter
  • fhirdocumentreference: DocumentReference.context.encounter
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.encounter.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.encounter.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C1..1string
There are no (further) constraints on this element
Element id
Composition.encounter.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.encounter.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.encounter.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.encounter.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
dateO Σ1..1dateTime
There are no (further) constraints on this element
Element id
Composition.date
Short description

Composition editing time

Definition

The composition editing time, when the composition was last logically changed by the author.

Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

Data type

dateTime

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.occurrence[x]
  • w5: FiveWs.done[x]
  • rim: .effectiveTime[type="TS"]
  • cda: .effectiveTime
  • fhirdocumentreference: DocumentReference.content.attachment.date, DocumentReference.created
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
authorO Σ1..*Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | Device | RelatedPerson)
There are no (further) constraints on this element
Element id
Composition.author
Short description

Who and/or what authored the clinical document

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.

Data type

Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | Device | RelatedPerson)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • workflow: Event.performer
  • w5: FiveWs.author
  • rim: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
  • cda: .author.assignedAuthor
  • fhirdocumentreference: DocumentReference.agent
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.author.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.author.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C1..1string
There are no (further) constraints on this element
Element id
Composition.author.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.author.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.author.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.author.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
titleO Σ1..1string
There are no (further) constraints on this element
Element id
Composition.title
Short description

Human Readable name/title

Definition

Official human-readable label for the composition.

Comments

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.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./title
  • cda: .title
  • fhirdocumentreference: DocumentReference.description, DocumentReference.content.attachment.title
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
confidentialityΣ0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.confidentiality
Short description

As defined by affinity domain

Definition

The code specifying the level of confidentiality of the Composition.

Comments

The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

Data type

code

Binding

Codes specifying the level of confidentiality of the composition.

v3.ConfidentialityClassification (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .confidentialityCode
  • cda: .confidentialityCode
  • fhirdocumentreference: DocumentReference.securityLabel
attester0..*BackboneElement
There are no (further) constraints on this element
Element id
Composition.attester
Short description

Attests to accuracy of composition

Definition

A participant who has attested to the accuracy of the composition/document.

Requirements

Identifies responsibility for the accuracy of the composition content.

Comments

Only list each attester once.

Data type

BackboneElement

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
  • cda: .authenticator/.legalAuthenticator
  • fhirdocumentreference: DocumentReference.authenticator
id0..1string
There are no (further) constraints on this element
Element id
Composition.attester.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.attester.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.attester.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
mode1..1codeBinding
There are no (further) constraints on this element
Element id
Composition.attester.mode
Short description

personal | professional | legal | official

Definition

The type of attestation the authenticator offers.

Requirements

Indicates the level of authority of the attestation.

Data type

code

Binding

The way in which a person authenticated a composition.

CompositionAttestationMode (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: unique(./modeCode)
  • cda: implied by .authenticator/.legalAuthenticator
time0..1dateTime
There are no (further) constraints on this element
Element id
Composition.attester.time
Short description

When the composition was attested

Definition

When the composition was attested by the party.

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

Data type

dateTime

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./time[type="TS" and isNormalDatatype()]
  • cda: .authenticator.time
party0..1Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | RelatedPerson)
There are no (further) constraints on this element
Element id
Composition.attester.party
Short description

Who attested the composition

Definition

Who attested the composition in the specified way.

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

Data type

Reference(PCareOrganization | PCarePatient | PCarePractitioner | PCarePractitionerRole | RelatedPerson)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.witness
  • rim: ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
  • cda: .authenticator.assignedEnttty
custodianO Σ1..1Reference(PCareOrganization)
There are no (further) constraints on this element
Element id
Composition.custodian
Short description

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.

Requirements

Identifies where to go to find the current version, where to report issues, etc.

Comments

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.

Data type

Reference(PCareOrganization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
  • cda: .custodian.assignedCustodian
  • fhirdocumentreference: DocumentReference.custodian
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.custodian.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.custodian.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C1..1string
There are no (further) constraints on this element
Element id
Composition.custodian.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.custodian.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.custodian.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.custodian.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
relatesToO0..*BackboneElement
There are no (further) constraints on this element
Element id
Composition.relatesTo
Short description

Relationships to other compositions/documents

Definition

Relationships that this composition has with other compositions or documents that already exist.

Comments

A document is a version specific composition.

Data type

BackboneElement

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .outboundRelationship
  • cda: .relatedDocument
  • fhirdocumentreference: DocumentReference.relatesTo
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.relatesTo.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.relatesTo.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.relatesTo.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
codeO1..1codeBinding
There are no (further) constraints on this element
Element id
Composition.relatesTo.code
Short description

replaces | transforms | signs | appends

Definition

The type of relationship that this composition has with anther composition or document.

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Data type

code

Binding

The type of relationship between documents.

DocumentRelationshipType (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .outboundRelationship.typeCode
  • cda: .relatedDocument.typeCode
  • fhirdocumentreference: DocumentReference.relatesTo.code
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
target[x]O1..1
There are no (further) constraints on this element
Element id
Composition.relatesTo.target[x]
Short description

Target of the relationship

Definition

The target composition/document of this relationship.

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .target[classCode="DOC", moodCode="EVN"].id
  • cda: .relatedDocument.id
  • fhirdocumentreference: DocumentReference.relatesTo.target
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
targetIdentifierIdentifier
There are no (further) constraints on this element
Data type

Identifier

targetReferenceReference(Composition)
There are no (further) constraints on this element
Data type

Reference(Composition)

eventO Σ0..*BackboneElement
There are no (further) constraints on this element
Element id
Composition.event
Short description

The clinical service(s) being documented

Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Data type

BackboneElement

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
  • cda: .documentationOf.serviceEvent
  • fhirdocumentreference: DocumentReference.event
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.event.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
codeΣ0..*CodeableConcept
There are no (further) constraints on this element
Element id
Composition.event.code
Short description

Code(s) that apply to the event being documented

Definition

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

Comments

An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

Data type

CodeableConcept

Binding

This list of codes represents the main clinical acts being documented.

ActCode (example)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .code
  • cda: .code
  • fhirdocumentreference: DocumentReference.event.code
periodO Σ1..1Period
There are no (further) constraints on this element
Element id
Composition.event.period
Short description

The period covered by the documentation

Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
  • cda: .effectiveTime
  • fhirdocumentreference: DocumentReference.event.period
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.event.period.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.period.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
startO Σ C1..1dateTime
There are no (further) constraints on this element
Element id
Composition.event.period.start
Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: DR.1
  • rim: ./low
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
endO Σ C0..1dateTime
There are no (further) constraints on this element
Element id
Composition.event.period.end
Short description

End time with inclusive boundary, if not ongoing

Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: DR.2
  • rim: ./high
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
detailO Σ0..*Reference(Resource)
There are no (further) constraints on this element
Element id
Composition.event.detail
Short description

Resources describing the clinical event

Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Comments

Reference the resources relevant to the document's clinical context. This may include a ServiceRequest for a referral, but the profile does not require a referral use case or a ServiceRequest.

Data type

Reference(Resource)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .outboundRelationship[typeCode="SUBJ"].target
  • cda: n/a
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.event.detail.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.event.detail.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C1..1string
There are no (further) constraints on this element
Element id
Composition.event.detail.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.event.detail.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.event.detail.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.event.detail.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
sectionO C1..*BackboneElement
There are no (further) constraints on this element
Element id
Composition.section
Short description

Sections composing the clinical document

Definition

The root of the sections that make up the composition.

Data type

BackboneElement

Constraints
  • cmp-1: A section must contain at least one of text, entries, or sub-sections
    text.exists() or entry.exists() or section.exists()
  • cmp-2: A section can only have an emptyReason if it is empty
    emptyReason.empty() or entry.empty()
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
  • cda: .component.structuredBody.component.section
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id1..1string
There are no (further) constraints on this element
Element id
Composition.section.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
title0..1string
There are no (further) constraints on this element
Element id
Composition.section.title
Short description

Label for section (e.g. for ToC)

Alternate names

header, label, caption

Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./title
  • cda: .title
codeO0..1CodeableConcept
There are no (further) constraints on this element
Element id
Composition.section.code
Short description

Classification of section (recommended)

Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Data type

CodeableConcept

Binding

Classification of a section of a composition/document.

DocumentSectionCodes (example)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./code
  • cda: .code
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.code.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
codingO Σ1..1Coding
There are no (further) constraints on this element
Element id
Composition.section.code.coding
Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.code.coding.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
systemO Σ1..1uri
There are no (further) constraints on this element
Element id
Composition.section.code.coding.system
Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
versionΣ0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.version
Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
codeO Σ1..1code
There are no (further) constraints on this element
Element id
Composition.section.code.coding.code
Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Data type

code

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
displayO Σ1..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display
Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display.id
Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display.extension
Short description

Extension

Definition

An Extension

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
translationO C0..*Extension(Complex)
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display.extension:translation
Short description

Language Translation (Localization)

Definition

Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

Data type

Extension(Complex)

Extension URL

Translation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: ST.translation
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
value0..1System.String
There are no (further) constraints on this element
Element id
Composition.section.code.coding.display.value
Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

userSelectedΣ0..1boolean
There are no (further) constraints on this element
Element id
Composition.section.code.coding.userSelected
Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
textO Σ0..1string
There are no (further) constraints on this element
Element id
Composition.section.code.text
Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
author0..*Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
There are no (further) constraints on this element
Element id
Composition.section.author
Short description

Who and/or what authored the section

Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Requirements

Identifies who is responsible for the content.

Data type

Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.author
  • rim: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
  • cda: .author.assignedAuthor
focus0..1Reference(Resource)
There are no (further) constraints on this element
Element id
Composition.section.focus
Short description

Who/what the section is about, when it is not about the subject of composition

Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

Data type

Reference(Resource)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • cda: .subject? (CDA did not differentiate between subject and focus)
textO C0..1Narrative
There are no (further) constraints on this element
Element id
Composition.section.text
Short description

Text summary of the section, for human interpretation

Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: cmp-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .text
  • cda: .text
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
mode0..1codeBinding
There are no (further) constraints on this element
Element id
Composition.section.mode
Short description

working | snapshot | changes

Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Data type

code

Binding

The processing mode that applies to this section.

ListMode (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.class
  • rim: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
  • cda: n/a
orderedBy0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.section.orderedBy
Short description

Order of section entries

Definition

Specifies the order applied to the items in the section entries.

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

Data type

CodeableConcept

Binding

What order applies to the items in the entry.

ListOrderCodes (preferred)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
  • cda: n/a
entryO C0..*Reference(Resource)
There are no (further) constraints on this element
Element id
Composition.section.entry
Short description

A reference to data that supports this section

Definition

A reference to the actual resource from which the narrative in the section is derived.

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: cmp-2

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
  • cda: .entry
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Composition.section.entry.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Composition.section.entry.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C1..1string
There are no (further) constraints on this element
Element id
Composition.section.entry.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Composition.section.entry.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierΣ0..1Identifier
There are no (further) constraints on this element
Element id
Composition.section.entry.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
displayΣ0..1string
There are no (further) constraints on this element
Element id
Composition.section.entry.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
emptyReasonC0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Composition.section.emptyReason
Short description

Why the section is empty

Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

Data type

CodeableConcept

Binding

If a section is empty, why it is empty.

ListEmptyReasons (preferred)

Conditions

The cardinality or value of this element may be affected by these constraints: cmp-2

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
  • cda: n/a
sectionC0..*see (section)
There are no (further) constraints on this element
Element id
Composition.section.section
Short description

Nested Section

Definition

A nested sub-section within this section.

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Conditions

The cardinality or value of this element may be affected by these constraints: cmp-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
  • cda: .component.section
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="composition" />
<text>
<status value="extensions" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<url value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition" />
<version value="0.1.0" />
<name value="PCareComposition" />
<title value="P-Care Clinical Document Composition" />
<status value="draft" />
<date value="2026-10-19T22:14:59+00:00" />
<publisher value="Infoway" />
<description value="The structure and clinical attestation of a patient-focused clinical document. Patient-summary requirements are defined separately in the P-Care Patient Summary Composition profile." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="workflow" />
<uri value="http://hl7.org/fhir/workflow" />
<name value="Workflow Pattern" />
</mapping>
<mapping>
<identity value="rim" />
<uri value="http://hl7.org/v3" />
<name value="RIM Mapping" />
</mapping>
<mapping>
<identity value="cda" />
<uri value="http://hl7.org/v3/cda" />
<name value="CDA (R2)" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<uri value="http://hl7.org/fhir/documentreference" />
<name value="FHIR DocumentReference" />
</mapping>
<mapping>
<identity value="w5" />
<uri value="http://hl7.org/fhir/fivews" />
<name value="FiveWs Pattern Mapping" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Composition" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" />
<derivation value="constraint" />
<snapshot>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1" />
</extension>
<element id="Composition">
<path value="Composition" />
<short value="A set of resources composed into a single coherent clinical statement with clinical attestation" />
<definition value="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.)." />
<comment value="While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition" />
<min value="0" />
<max value="*" />
</base>
<constraint>
<key value="dom-2" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
<expression value="contained.contained.empty()" />
<xpath value="not(parent::f:contained and f:contained)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<key value="dom-3" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
<expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
<xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<key value="dom-4" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<key value="dom-5" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
<expression value="contained.meta.security.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:security))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
</extension>
<key value="dom-6" />
<severity value="warning" />
<human value="A resource should have narrative for robust management" />
<expression value="text.`div`.exists()" />
<xpath value="exists(f:text/h:div)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]" />
</mapping>
<mapping>
<identity value="cda" />
<map value="ClinicalDocument" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="when described by DocumentReference" />
</mapping>
</element>
<element id="Composition.id">
<path value="Composition.id" />
<short value="Logical id of this artifact" />
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Composition.meta">
<path value="Composition.meta" />
<short value="Metadata about the resource" />
<definition value="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 value="0" />
<max value="1" />
<base>
<path value="Resource.meta" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Meta" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Composition.implicitRules">
<path value="Composition.implicitRules" />
<short value="A set of rules under which this content was created" />
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
<comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.implicitRules" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
<isSummary value="true" />
</element>
<element id="Composition.language">
<path value="Composition.language" />
<short value="Language of the resource content" />
<definition value="The base language in which the resource is written." />
<comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.language" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language" />
</extension>
<strength value="preferred" />
<description value="A human language." />
<valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1" />
</binding>
</element>
<element id="Composition.text">
<path value="Composition.text" />
<short value="Text summary of the resource, for human interpretation" />
<definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
<comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." />
<alias value="narrative" />
<alias value="html" />
<alias value="xhtml" />
<alias value="display" />
<min value="0" />
<max value="1" />
<base>
<path value="DomainResource.text" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Narrative" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="Act.text?" />
</mapping>
</element>
<element id="Composition.contained">
<path value="Composition.contained" />
<short value="Contained, inline Resources" />
<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
<comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." />
<alias value="inline resources" />
<alias value="anonymous resources" />
<alias value="contained resources" />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.contained" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Resource" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.extension">
<path value="Composition.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Extension" />
<definition value="An Extension" />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.extension:Recipients">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.extension" />
<sliceName value="Recipients" />
<short value="P-Care Document Recipient" />
<definition value="Identifies an intended recipient of a clinical document or report." />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
<profile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-document-recipient" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.modifierExtension">
<path value="Composition.modifierExtension" />
<short value="Extensions that cannot be ignored" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.identifier" />
<short value="Version-independent identifier for the Composition" />
<definition value="A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time." />
<comment value="Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="workflow" />
<map value="Event.identifier" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.identifier" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Document.id / Document.setId" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".setId" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.masterIdentifier" />
</mapping>
</element>
<element id="Composition.identifier.id">
<path value="Composition.identifier.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.identifier.extension">
<path value="Composition.identifier.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.identifier.use">
<path value="Composition.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.use" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse" />
</extension>
<strength value="required" />
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Composition.identifier.type">
<path value="Composition.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType" />
</extension>
<strength value="extensible" />
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|4.0.1" />
</binding>
<mapping>
<identity value="v2" />
<map value="CX.5" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Composition.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<example>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.4 / EI-2-4" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.root or Role.id.root" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Composition.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<example>
<label value="General" />
<valueString value="123456" />
</example>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.1 / EI.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./Value" />
</mapping>
</element>
<element id="Composition.identifier.period">
<path value="Composition.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.7 + CX.8" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.effectiveTime or implied by context" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Composition.identifier.assigner">
<path value="Composition.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.assigner" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<element id="Composition.status">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.status" />
<short value="preliminary | final | amended | entered-in-error" />
<definition value="The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document." />
<comment value="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 value="Need to be able to mark interim, amended, or withdrawn compositions or documents." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.status" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="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 value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CompositionStatus" />
</extension>
<strength value="required" />
<description value="The workflow/clinical status of the composition." />
<valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.0.1" />
</binding>
<mapping>
<identity value="workflow" />
<map value="Event.status" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.status" />
</mapping>
<mapping>
<identity value="rim" />
<map value="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"" />
</mapping>
<mapping>
<identity value="cda" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.status" />
</mapping>
</element>
<element id="Composition.type">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type" />
<short value="Kind of composition (LOINC if possible)" />
<definition value="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 value="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 value="Key metadata element describing the composition, used in searching/filtering." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.type" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentType" />
</extension>
<strength value="preferred" />
<description value="Type of a composition." />
<valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1" />
</binding>
<mapping>
<identity value="workflow" />
<map value="Event.code" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.class" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".code" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.type" />
</mapping>
</element>
<element id="Composition.type.id">
<path value="Composition.type.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.type.extension">
<path value="Composition.type.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.type.coding">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type.coding" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<base>
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Coding" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Composition.type.coding.id">
<path value="Composition.type.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.type.coding.extension">
<path value="Composition.type.coding.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.type.coding.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Composition.type.coding.version">
<path value="Composition.type.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Composition.type.coding.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Composition.type.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Composition.type.coding.display.id">
<path value="Composition.type.coding.display.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references)" />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.type.coding.display.extension">
<path value="Composition.type.coding.display.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Extension" />
<definition value="An Extension" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.type.coding.display.extension:translation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type.coding.display.extension" />
<sliceName value="translation" />
<short value="Language Translation (Localization)" />
<definition value="Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended." />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/translation|5.3.0" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="ST.translation" />
</mapping>
</element>
<element id="Composition.type.coding.display.value">
<path value="Composition.type.coding.display.value" />
<representation value="xmlAttr" />
<short value="Primitive value for string" />
<definition value="The actual value" />
<min value="0" />
<max value="1" />
<base>
<path value="string.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
<valueString value="[ \r\n\t\S]+" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<maxLength value="1048576" />
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.type.coding.userSelected">
<path value="Composition.type.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="boolean" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
<element id="Composition.type.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.type.text" />
<short value="Plain text representation of the concept" />
<definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
<min value="0" />
<max value="1" />
<base>
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Composition.category">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category" />
<short value="Categorization of Composition" />
<definition value="A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type." />
<comment value="This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))." />
<requirements value="Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.category" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentCategory" />
</extension>
<strength value="example" />
<description value="High-level kind of a clinical document at a macro level." />
<valueSet value="http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1" />
</binding>
<mapping>
<identity value="workflow" />
<map value="Event.subject" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.class" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code" />
</mapping>
<mapping>
<identity value="cda" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumenttReference.category" />
</mapping>
</element>
<element id="Composition.category.id">
<path value="Composition.category.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.category.extension">
<path value="Composition.category.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.category.coding">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category.coding" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<base>
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Coding" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Composition.category.coding.id">
<path value="Composition.category.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.category.coding.extension">
<path value="Composition.category.coding.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.category.coding.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Composition.category.coding.version">
<path value="Composition.category.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Composition.category.coding.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Composition.category.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Composition.category.coding.display.id">
<path value="Composition.category.coding.display.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references)" />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.category.coding.display.extension">
<path value="Composition.category.coding.display.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Extension" />
<definition value="An Extension" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.category.coding.display.extension:translation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category.coding.display.extension" />
<sliceName value="translation" />
<short value="Language Translation (Localization)" />
<definition value="Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended." />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/translation|5.3.0" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="ST.translation" />
</mapping>
</element>
<element id="Composition.category.coding.display.value">
<path value="Composition.category.coding.display.value" />
<representation value="xmlAttr" />
<short value="Primitive value for string" />
<definition value="The actual value" />
<min value="0" />
<max value="1" />
<base>
<path value="string.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
<valueString value="[ \r\n\t\S]+" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<maxLength value="1048576" />
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.category.coding.userSelected">
<path value="Composition.category.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="boolean" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
<element id="Composition.category.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.category.text" />
<short value="Plain text representation of the concept" />
<definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
<min value="0" />
<max value="1" />
<base>
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Composition.subject">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.subject" />
<short value="Patient who is the subject of the clinical document" />
<definition value="The patient whose care is described by this clinical document." />
<comment value="For clinical documents, this is usually the patient." />
<requirements value="Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.subject" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="w5" />
<map value="FiveWs.subject[x]" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".participation[typeCode="SBJ"].role[typeCode="PAT"]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".recordTarget" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.subject" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.subject" />
</mapping>
</element>
<element id="Composition.subject.id">
<path value="Composition.subject.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.subject.extension">
<path value="Composition.subject.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.subject.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.subject.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="1" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.subject.type">
<path value="Composition.subject.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.subject.identifier">
<path value="Composition.subject.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Composition.subject.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Composition.subject.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.encounter">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.encounter" />
<short value="Context of the Composition" />
<definition value="Describes the clinical encounter or type of care this documentation is associated with." />
<requirements value="Provides context for the composition and supports searching." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.encounter" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="workflow" />
<map value="Event.context" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.context" />
</mapping>
<mapping>
<identity value="rim" />
<map value="unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".componentOf.encompassingEncounter" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.context.encounter" />
</mapping>
</element>
<element id="Composition.encounter.id">
<path value="Composition.encounter.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.encounter.extension">
<path value="Composition.encounter.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.encounter.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.encounter.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="1" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.encounter.type">
<path value="Composition.encounter.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.encounter.identifier">
<path value="Composition.encounter.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Composition.encounter.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Composition.encounter.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.date">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.date" />
<short value="Composition editing time" />
<definition value="The composition editing time, when the composition was last logically changed by the author." />
<comment value="The Last Modified Date on the composition may be after the date of the document was attested without being changed." />
<requirements value="dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.date" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="dateTime" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="workflow" />
<map value="Event.occurrence[x]" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.done[x]" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".effectiveTime[type="TS"]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".effectiveTime" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.content.attachment.date, DocumentReference.created" />
</mapping>
</element>
<element id="Composition.author">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.author" />
<short value="Who and/or what authored the clinical document" />
<definition value="Identifies who is responsible for the information in the composition, not necessarily who typed it in." />
<requirements value="Identifies who is responsible for the content." />
<min value="1" />
<max value="*" />
<base>
<path value="Composition.author" />
<min value="1" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="workflow" />
<map value="Event.performer" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.author" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".author.assignedAuthor" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.agent" />
</mapping>
</element>
<element id="Composition.author.id">
<path value="Composition.author.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.author.extension">
<path value="Composition.author.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.author.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.author.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="1" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.author.type">
<path value="Composition.author.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.author.identifier">
<path value="Composition.author.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Composition.author.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Composition.author.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.title">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.title" />
<short value="Human Readable name/title" />
<definition value="Official human-readable label for the composition." />
<comment value="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 value="1" />
<max value="1" />
<base>
<path value="Composition.title" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="./title" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".title" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.description, DocumentReference.content.attachment.title" />
</mapping>
</element>
<element id="Composition.confidentiality">
<path value="Composition.confidentiality" />
<short value="As defined by affinity domain" />
<definition value="The code specifying the level of confidentiality of the Composition." />
<comment value="The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.confidentiality" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentConfidentiality" />
</extension>
<strength value="required" />
<description value="Codes specifying the level of confidentiality of the composition." />
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26" />
</binding>
<mapping>
<identity value="rim" />
<map value=".confidentialityCode" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".confidentialityCode" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.securityLabel" />
</mapping>
</element>
<element id="Composition.attester">
<path value="Composition.attester" />
<short value="Attests to accuracy of composition" />
<definition value="A participant who has attested to the accuracy of the composition/document." />
<comment value="Only list each attester once." />
<requirements value="Identifies responsibility for the accuracy of the composition content." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.attester" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="BackboneElement" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".authenticator/.legalAuthenticator" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.authenticator" />
</mapping>
</element>
<element id="Composition.attester.id">
<path value="Composition.attester.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.attester.extension">
<path value="Composition.attester.extension" />
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.attester.modifierExtension">
<path value="Composition.attester.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<base>
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.attester.mode">
<path value="Composition.attester.mode" />
<short value="personal | professional | legal | official" />
<definition value="The type of attestation the authenticator offers." />
<requirements value="Indicates the level of authority of the attestation." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.attester.mode" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CompositionAttestationMode" />
</extension>
<strength value="required" />
<description value="The way in which a person authenticated a composition." />
<valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="unique(./modeCode)" />
</mapping>
<mapping>
<identity value="cda" />
<map value="implied by .authenticator/.legalAuthenticator" />
</mapping>
</element>
<element id="Composition.attester.time">
<path value="Composition.attester.time" />
<short value="When the composition was attested" />
<definition value="When the composition was attested by the party." />
<requirements value="Identifies when the information in the composition was deemed accurate. (Things may have changed since then.)." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.attester.time" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="dateTime" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="./time[type="TS" and isNormalDatatype()]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".authenticator.time" />
</mapping>
</element>
<element id="Composition.attester.party">
<path value="Composition.attester.party" />
<short value="Who attested the composition" />
<definition value="Who attested the composition in the specified way." />
<requirements value="Identifies who has taken on the responsibility for accuracy of the composition content." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.attester.party" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="w5" />
<map value="FiveWs.witness" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".authenticator.assignedEnttty" />
</mapping>
</element>
<element id="Composition.custodian">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.custodian" />
<short value="Organization which maintains the composition" />
<definition value="Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information." />
<comment value="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 value="Identifies where to go to find the current version, where to report issues, etc." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.custodian" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".custodian.assignedCustodian" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.custodian" />
</mapping>
</element>
<element id="Composition.custodian.id">
<path value="Composition.custodian.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.custodian.extension">
<path value="Composition.custodian.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.custodian.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.custodian.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="1" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.custodian.type">
<path value="Composition.custodian.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.custodian.identifier">
<path value="Composition.custodian.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Composition.custodian.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Composition.custodian.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.relatesTo">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.relatesTo" />
<short value="Relationships to other compositions/documents" />
<definition value="Relationships that this composition has with other compositions or documents that already exist." />
<comment value="A document is a version specific composition." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.relatesTo" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="BackboneElement" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value=".outboundRelationship" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".relatedDocument" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.relatesTo" />
</mapping>
</element>
<element id="Composition.relatesTo.id">
<path value="Composition.relatesTo.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.relatesTo.extension">
<path value="Composition.relatesTo.extension" />
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.relatesTo.modifierExtension">
<path value="Composition.relatesTo.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<base>
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.relatesTo.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.relatesTo.code" />
<short value="replaces | transforms | signs | appends" />
<definition value="The type of relationship that this composition has with anther composition or document." />
<comment value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.relatesTo.code" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentRelationshipType" />
</extension>
<strength value="required" />
<description value="The type of relationship between documents." />
<valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value=".outboundRelationship.typeCode" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".relatedDocument.typeCode" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.relatesTo.code" />
</mapping>
</element>
<element id="Composition.relatesTo.target[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.relatesTo.target[x]" />
<short value="Target of the relationship" />
<definition value="The target composition/document of this relationship." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.relatesTo.target[x]" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value=".target[classCode="DOC", moodCode="EVN"].id" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".relatedDocument.id" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.relatesTo.target" />
</mapping>
</element>
<element id="Composition.event">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.event" />
<short value="The clinical service(s) being documented" />
<definition value="The clinical service, such as a colonoscopy or an appendectomy, being documented." />
<comment value="The event needs to be consistent with the type element, though can provide further information if desired." />
<requirements value="Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.event" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="BackboneElement" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".documentationOf.serviceEvent" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.event" />
</mapping>
</element>
<element id="Composition.event.id">
<path value="Composition.event.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.extension">
<path value="Composition.event.extension" />
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.modifierExtension">
<path value="Composition.event.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<base>
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.event.code">
<path value="Composition.event.code" />
<short value="Code(s) that apply to the event being documented" />
<definition value="This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act." />
<comment value="An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.event.code" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentEventType" />
</extension>
<strength value="example" />
<description value="This list of codes represents the main clinical acts being documented." />
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0" />
</binding>
<mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".code" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.event.code" />
</mapping>
</element>
<element id="Composition.event.period">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.event.period" />
<short value="The period covered by the documentation" />
<definition value="The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time." />
<min value="1" />
<max value="1" />
<base>
<path value="Composition.event.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".effectiveTime" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".effectiveTime" />
</mapping>
<mapping>
<identity value="fhirdocumentreference" />
<map value="DocumentReference.event.period" />
</mapping>
</element>
<element id="Composition.event.period.id">
<path value="Composition.event.period.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.period.extension">
<path value="Composition.event.period.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.period.start">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.event.period.start" />
<short value="Starting time with inclusive boundary" />
<definition value="The start of the period. The boundary is inclusive." />
<comment value="If the low element is missing, the meaning is that the low boundary is not known." />
<min value="1" />
<max value="1" />
<base>
<path value="Period.start" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="dateTime" />
</type>
<condition value="per-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="DR.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./low" />
</mapping>
</element>
<element id="Composition.event.period.end">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.event.period.end" />
<short value="End time with inclusive boundary, if not ongoing" />
<definition value="The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." />
<comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." />
<min value="0" />
<max value="1" />
<base>
<path value="Period.end" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="dateTime" />
</type>
<meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing" />
<condition value="per-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="DR.2" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./high" />
</mapping>
</element>
<element id="Composition.event.detail">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.event.detail" />
<short value="Resources describing the clinical event" />
<definition value="The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy." />
<comment value="Reference the resources relevant to the document's clinical context. This may include a ServiceRequest for a referral, but the profile does not require a referral use case or a ServiceRequest." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.event.detail" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode="SUBJ"].target" />
</mapping>
<mapping>
<identity value="cda" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.detail.id">
<path value="Composition.event.detail.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.detail.extension">
<path value="Composition.event.detail.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.event.detail.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.event.detail.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="1" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.event.detail.type">
<path value="Composition.event.detail.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.event.detail.identifier">
<path value="Composition.event.detail.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Composition.event.detail.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Composition.event.detail.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.section">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
<valueString value="Section" />
</extension>
<path value="Composition.section" />
<short value="Sections composing the clinical document" />
<definition value="The root of the sections that make up the composition." />
<min value="1" />
<max value="*" />
<base>
<path value="Composition.section" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="BackboneElement" />
</type>
<constraint>
<key value="cmp-1" />
<severity value="error" />
<human value="A section must contain at least one of text, entries, or sub-sections" />
<expression value="text.exists() or entry.exists() or section.exists()" />
<xpath value="exists(f:text) or exists(f:entry) or exists(f:section)" />
<source value="http://hl7.org/fhir/StructureDefinition/Composition" />
</constraint>
<constraint>
<key value="cmp-2" />
<severity value="error" />
<human value="A section can only have an emptyReason if it is empty" />
<expression value="emptyReason.empty() or entry.empty()" />
<xpath value="not(exists(f:emptyReason) and exists(f:entry))" />
<source value="http://hl7.org/fhir/StructureDefinition/Composition" />
</constraint>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".component.structuredBody.component.section" />
</mapping>
</element>
<element id="Composition.section.id">
<path value="Composition.section.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="1" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.extension">
<path value="Composition.section.extension" />
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.modifierExtension">
<path value="Composition.section.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<base>
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.section.title">
<path value="Composition.section.title" />
<short value="Label for section (e.g. for ToC)" />
<definition value="The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents." />
<comment value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element." />
<requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized." />
<alias value="header" />
<alias value="label" />
<alias value="caption" />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.title" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="./title" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".title" />
</mapping>
</element>
<element id="Composition.section.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code" />
<short value="Classification of section (recommended)" />
<definition value="A code identifying the kind of content contained within the section. This must be consistent with the section title." />
<comment value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." />
<requirements value="Provides computable standardized labels to topics within the document." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.code" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CompositionSectionType" />
</extension>
<strength value="example" />
<description value="Classification of a section of a composition/document." />
<valueSet value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".code" />
</mapping>
</element>
<element id="Composition.section.code.id">
<path value="Composition.section.code.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.code.extension">
<path value="Composition.section.code.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.code.coding">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code.coding" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="1" />
<max value="1" />
<base>
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Coding" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Composition.section.code.coding.id">
<path value="Composition.section.code.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.code.coding.extension">
<path value="Composition.section.code.coding.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.code.coding.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Composition.section.code.coding.version">
<path value="Composition.section.code.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Composition.section.code.coding.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Composition.section.code.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="1" />
<max value="1" />
<base>
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Composition.section.code.coding.display.id">
<path value="Composition.section.code.coding.display.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references)" />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.section.code.coding.display.extension">
<path value="Composition.section.code.coding.display.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Extension" />
<definition value="An Extension" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.section.code.coding.display.extension:translation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code.coding.display.extension" />
<sliceName value="translation" />
<short value="Language Translation (Localization)" />
<definition value="Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended." />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/translation|5.3.0" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="ST.translation" />
</mapping>
</element>
<element id="Composition.section.code.coding.display.value">
<path value="Composition.section.code.coding.display.value" />
<representation value="xmlAttr" />
<short value="Primitive value for string" />
<definition value="The actual value" />
<min value="0" />
<max value="1" />
<base>
<path value="string.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
<valueString value="[ \r\n\t\S]+" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<maxLength value="1048576" />
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Composition.section.code.coding.userSelected">
<path value="Composition.section.code.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
<min value="0" />
<max value="1" />
<base>
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="boolean" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
<element id="Composition.section.code.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.code.text" />
<short value="Plain text representation of the concept" />
<definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
<min value="0" />
<max value="1" />
<base>
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Composition.section.author">
<path value="Composition.section.author" />
<short value="Who and/or what authored the section" />
<definition value="Identifies who is responsible for the information in this section, not necessarily who typed it in." />
<requirements value="Identifies who is responsible for the content." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.section.author" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="w5" />
<map value="FiveWs.author" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".author.assignedAuthor" />
</mapping>
</element>
<element id="Composition.section.focus">
<path value="Composition.section.focus" />
<short value="Who/what the section is about, when it is not about the subject of composition" />
<definition value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." />
<comment value="Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.focus" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="cda" />
<map value=".subject? (CDA did not differentiate between subject and focus)" />
</mapping>
</element>
<element id="Composition.section.text">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.text" />
<short value="Text summary of the section, for human interpretation" />
<definition value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative." />
<comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.text" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Narrative" />
</type>
<condition value="cmp-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value=".text" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".text" />
</mapping>
</element>
<element id="Composition.section.mode">
<path value="Composition.section.mode" />
<short value="working | snapshot | changes" />
<definition value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." />
<comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list." />
<requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.mode" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SectionMode" />
</extension>
<strength value="required" />
<description value="The processing mode that applies to this section." />
<valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1" />
</binding>
<mapping>
<identity value="w5" />
<map value="FiveWs.class" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" />
</mapping>
<mapping>
<identity value="cda" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.orderedBy">
<path value="Composition.section.orderedBy" />
<short value="Order of section entries" />
<definition value="Specifies the order applied to the items in the section entries." />
<comment value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." />
<requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.orderedBy" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SectionEntryOrder" />
</extension>
<strength value="preferred" />
<description value="What order applies to the items in the entry." />
<valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1" />
</mapping>
<mapping>
<identity value="cda" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.entry">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.entry" />
<short value="A reference to data that supports this section" />
<definition value="A reference to the actual resource from which the narrative in the section is derived." />
<comment value="If there are no entries in the list, an emptyReason SHOULD be provided." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.section.entry" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1" />
</type>
<condition value="cmp-2" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".entry" />
</mapping>
</element>
<element id="Composition.section.entry.id">
<path value="Composition.section.entry.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.entry.extension">
<path value="Composition.section.entry.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.entry.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0" />
</extension>
</extension>
<path value="Composition.section.entry.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="1" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.section.entry.type">
<path value="Composition.section.entry.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.section.entry.identifier">
<path value="Composition.section.entry.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Composition.section.entry.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Composition.section.entry.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Composition.section.emptyReason">
<path value="Composition.section.emptyReason" />
<short value="Why the section is empty" />
<definition value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." />
<comment value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." />
<requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists." />
<min value="0" />
<max value="1" />
<base>
<path value="Composition.section.emptyReason" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="cmp-2" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SectionEmptyReason" />
</extension>
<strength value="preferred" />
<description value="If a section is empty, why it is empty." />
<valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" />
</mapping>
<mapping>
<identity value="cda" />
<map value="n/a" />
</mapping>
</element>
<element id="Composition.section.section">
<path value="Composition.section.section" />
<short value="Nested Section" />
<definition value="A nested sub-section within this section." />
<comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document." />
<min value="0" />
<max value="*" />
<base>
<path value="Composition.section.section" />
<min value="0" />
<max value="*" />
</base>
<contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" />
<condition value="cmp-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" />
</mapping>
<mapping>
<identity value="cda" />
<map value=".component.section" />
</mapping>
</element>
</snapshot>
<differential>
<element id="Composition.extension">
<path value="Composition.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Composition.extension:Recipients">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.extension" />
<sliceName value="Recipients" />
<min value="0" />
<max value="*" />
<type>
<code value="Extension" />
<profile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-document-recipient" />
</type>
</element>
<element id="Composition.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.identifier" />
<min value="1" />
</element>
<element id="Composition.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.identifier.system" />
<min value="1" />
</element>
<element id="Composition.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.identifier.value" />
<min value="1" />
</element>
<element id="Composition.status">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.status" />
</element>
<element id="Composition.type">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type" />
</element>
<element id="Composition.type.coding">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type.coding" />
</element>
<element id="Composition.type.coding.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type.coding.system" />
</element>
<element id="Composition.type.coding.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type.coding.code" />
<min value="1" />
</element>
<element id="Composition.type.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type.coding.display" />
<min value="1" />
</element>
<element id="Composition.type.coding.display.extension">
<path value="Composition.type.coding.display.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Composition.type.coding.display.extension:translation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type.coding.display.extension" />
<sliceName value="translation" />
<min value="0" />
<max value="*" />
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/translation|5.3.0" />
</type>
</element>
<element id="Composition.type.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.type.text" />
</element>
<element id="Composition.category">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category" />
</element>
<element id="Composition.category.coding">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category.coding" />
</element>
<element id="Composition.category.coding.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category.coding.system" />
</element>
<element id="Composition.category.coding.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category.coding.code" />
<min value="1" />
</element>
<element id="Composition.category.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category.coding.display" />
<min value="1" />
</element>
<element id="Composition.category.coding.display.extension">
<path value="Composition.category.coding.display.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Composition.category.coding.display.extension:translation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category.coding.display.extension" />
<sliceName value="translation" />
<min value="0" />
<max value="*" />
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/translation|5.3.0" />
</type>
</element>
<element id="Composition.category.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.category.text" />
</element>
<element id="Composition.subject">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.subject" />
<short value="Patient who is the subject of the clinical document" />
<definition value="The patient whose care is described by this clinical document." />
<min value="1" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
</type>
</element>
<element id="Composition.subject.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.subject.reference" />
<min value="1" />
</element>
<element id="Composition.encounter">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.encounter" />
</element>
<element id="Composition.encounter.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.encounter.reference" />
<min value="1" />
</element>
<element id="Composition.date">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.date" />
</element>
<element id="Composition.author">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.author" />
<short value="Who and/or what authored the clinical document" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
</type>
</element>
<element id="Composition.author.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.author.reference" />
<min value="1" />
</element>
<element id="Composition.title">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.title" />
</element>
<element id="Composition.attester.party">
<path value="Composition.attester.party" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
</type>
</element>
<element id="Composition.custodian">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.custodian" />
<min value="1" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization" />
</type>
</element>
<element id="Composition.custodian.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.custodian.reference" />
<min value="1" />
</element>
<element id="Composition.relatesTo">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.relatesTo" />
</element>
<element id="Composition.relatesTo.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.relatesTo.code" />
</element>
<element id="Composition.relatesTo.target[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.relatesTo.target[x]" />
</element>
<element id="Composition.event">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.event" />
</element>
<element id="Composition.event.period">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.event.period" />
<min value="1" />
</element>
<element id="Composition.event.period.start">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.event.period.start" />
<min value="1" />
</element>
<element id="Composition.event.period.end">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.event.period.end" />
</element>
<element id="Composition.event.detail">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.event.detail" />
<short value="Resources describing the clinical event" />
<comment value="Reference the resources relevant to the document's clinical context. This may include a ServiceRequest for a referral, but the profile does not require a referral use case or a ServiceRequest." />
</element>
<element id="Composition.event.detail.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.event.detail.reference" />
<min value="1" />
</element>
<element id="Composition.section">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<valueString value="Section" />
</extension>
<path value="Composition.section" />
<short value="Sections composing the clinical document" />
<min value="1" />
</element>
<element id="Composition.section.id">
<path value="Composition.section.id" />
<min value="1" />
</element>
<element id="Composition.section.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code" />
</element>
<element id="Composition.section.code.coding">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code.coding" />
<min value="1" />
<max value="1" />
</element>
<element id="Composition.section.code.coding.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code.coding.system" />
<min value="1" />
</element>
<element id="Composition.section.code.coding.code">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code.coding.code" />
<min value="1" />
</element>
<element id="Composition.section.code.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code.coding.display" />
<min value="1" />
</element>
<element id="Composition.section.code.coding.display.extension">
<path value="Composition.section.code.coding.display.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Composition.section.code.coding.display.extension:translation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code.coding.display.extension" />
<sliceName value="translation" />
<min value="0" />
<max value="*" />
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/translation|5.3.0" />
</type>
</element>
<element id="Composition.section.code.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.code.text" />
</element>
<element id="Composition.section.text">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.text" />
</element>
<element id="Composition.section.entry">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.entry" />
</element>
<element id="Composition.section.entry.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Composition.section.entry.reference" />
<min value="1" />
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "composition",
"text": {
"status": "extensions",
--- We have skipped the narrative for better readability of the resource ---
},
"url": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition",
"version": "0.1.0",
"name": "PCareComposition",
"title": "P-Care Clinical Document Composition",
"status": "draft",
"date": "2026-10-19T22:14:59+00:00",
"publisher": "Infoway",
"description": "The structure and clinical attestation of a patient-focused clinical document. Patient-summary requirements are defined separately in the P-Care Patient Summary Composition profile.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "cda",
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)"
},
{
"identity": "fhirdocumentreference",
"uri": "http://hl7.org/fhir/documentreference",
"name": "FHIR DocumentReference"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "Composition",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "Composition",
"path": "Composition",
"short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
"definition": "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.).",
"comment": "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
"min": 0,
"max": "*",
"base": {
"path": "Composition",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"
},
{
"identity": "cda",
"map": "ClinicalDocument"
},
{
"identity": "fhirdocumentreference",
"map": "when described by DocumentReference"
}
]
},
{
"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": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"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"
}
],
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Composition.implicitRules",
"path": "Composition.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
},
{
"id": "Composition.language",
"path": "Composition.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}
],
"strength": "preferred",
"description": "A human language.",
"valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1"
}
},
{
"id": "Composition.text",
"path": "Composition.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "Composition.contained",
"path": "Composition.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.extension",
"path": "Composition.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.extension:Recipients",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.extension",
"sliceName": "Recipients",
"short": "P-Care Document Recipient",
"definition": "Identifies an intended recipient of a clinical document or report.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-document-recipient"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.modifierExtension",
"path": "Composition.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.identifier",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.identifier",
"short": "Version-independent identifier for the Composition",
"definition": "A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.",
"comment": "Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.identifier"
},
{
"identity": "w5",
"map": "FiveWs.identifier"
},
{
"identity": "rim",
"map": "Document.id / Document.setId"
},
{
"identity": "cda",
"map": ".setId"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.masterIdentifier"
}
]
},
{
"id": "Composition.identifier.id",
"path": "Composition.identifier.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.identifier.extension",
"path": "Composition.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.identifier.use",
"path": "Composition.identifier.use",
"short": "usual | official | temp | secondary | old (If known)",
"definition": "The purpose of this identifier.",
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Composition.identifier.type",
"path": "Composition.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Composition.identifier.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"comment": "Identifier.system is always case sensitive.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "Composition.identifier.value",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "Composition.identifier.period",
"path": "Composition.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "Composition.identifier.assigner",
"path": "Composition.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "Composition.status",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.status",
"short": "preliminary | final | amended | entered-in-error",
"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",
"base": {
"path": "Composition.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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|4.0.1"
},
"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.status"
}
]
},
{
"id": "Composition.type",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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|4.0.1"
},
"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.type.id",
"path": "Composition.type.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.type.extension",
"path": "Composition.type.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.type.coding",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding",
"short": "Code defined by a terminology system",
"definition": "A reference to a code defined by a terminology system.",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 0,
"max": "*",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "Composition.type.coding.id",
"path": "Composition.type.coding.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.type.coding.extension",
"path": "Composition.type.coding.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.type.coding.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.system",
"short": "Identity of the terminology system",
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.3"
},
{
"identity": "rim",
"map": "./codeSystem"
},
{
"identity": "orim",
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id": "Composition.type.coding.version",
"path": "Composition.type.coding.version",
"short": "Version of the system - if relevant",
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.7"
},
{
"identity": "rim",
"map": "./codeSystemVersion"
},
{
"identity": "orim",
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id": "Composition.type.coding.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.code",
"short": "Symbol in syntax defined by the system",
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements": "Need to refer to a particular code in the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1"
},
{
"identity": "rim",
"map": "./code"
},
{
"identity": "orim",
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id": "Composition.type.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.display",
"short": "Representation defined by the system",
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.2 - but note this is not well followed"
},
{
"identity": "rim",
"map": "CV.displayName"
},
{
"identity": "orim",
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id": "Composition.type.coding.display.id",
"path": "Composition.type.coding.display.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references)",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.type.coding.display.extension",
"path": "Composition.type.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.type.coding.display.extension:translation",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.display.extension",
"sliceName": "translation",
"short": "Language Translation (Localization)",
"definition": "Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/translation|5.3.0"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "ST.translation"
}
]
},
{
"id": "Composition.type.coding.display.value",
"path": "Composition.type.coding.display.value",
"representation": [
"xmlAttr"
],
"short": "Primitive value for string",
"definition": "The actual value",
"min": 0,
"max": "1",
"base": {
"path": "string.value",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"maxLength": 1048576,
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.type.coding.userSelected",
"path": "Composition.type.coding.userSelected",
"short": "If this coding was chosen directly by the user",
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.userSelected",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "Sometimes implied by being first"
},
{
"identity": "rim",
"map": "CD.codingRationale"
},
{
"identity": "orim",
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id": "Composition.type.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.text",
"short": "Plain text representation of the concept",
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.text",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity": "rim",
"map": "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id": "Composition.category",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category",
"short": "Categorization of Composition",
"definition": "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
"comment": "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
"requirements": "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.category",
"min": 0,
"max": "*"
},
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentCategory"
}
],
"strength": "example",
"description": "High-level kind of a clinical document at a macro level.",
"valueSet": "http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "w5",
"map": "FiveWs.class"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
},
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "fhirdocumentreference",
"map": "DocumenttReference.category"
}
]
},
{
"id": "Composition.category.id",
"path": "Composition.category.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.category.extension",
"path": "Composition.category.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.category.coding",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding",
"short": "Code defined by a terminology system",
"definition": "A reference to a code defined by a terminology system.",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 0,
"max": "*",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "Composition.category.coding.id",
"path": "Composition.category.coding.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.category.coding.extension",
"path": "Composition.category.coding.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.category.coding.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.system",
"short": "Identity of the terminology system",
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.3"
},
{
"identity": "rim",
"map": "./codeSystem"
},
{
"identity": "orim",
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id": "Composition.category.coding.version",
"path": "Composition.category.coding.version",
"short": "Version of the system - if relevant",
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.7"
},
{
"identity": "rim",
"map": "./codeSystemVersion"
},
{
"identity": "orim",
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id": "Composition.category.coding.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.code",
"short": "Symbol in syntax defined by the system",
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements": "Need to refer to a particular code in the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1"
},
{
"identity": "rim",
"map": "./code"
},
{
"identity": "orim",
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id": "Composition.category.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.display",
"short": "Representation defined by the system",
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.2 - but note this is not well followed"
},
{
"identity": "rim",
"map": "CV.displayName"
},
{
"identity": "orim",
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id": "Composition.category.coding.display.id",
"path": "Composition.category.coding.display.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references)",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.category.coding.display.extension",
"path": "Composition.category.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.category.coding.display.extension:translation",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.display.extension",
"sliceName": "translation",
"short": "Language Translation (Localization)",
"definition": "Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/translation|5.3.0"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "ST.translation"
}
]
},
{
"id": "Composition.category.coding.display.value",
"path": "Composition.category.coding.display.value",
"representation": [
"xmlAttr"
],
"short": "Primitive value for string",
"definition": "The actual value",
"min": 0,
"max": "1",
"base": {
"path": "string.value",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"maxLength": 1048576,
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.category.coding.userSelected",
"path": "Composition.category.coding.userSelected",
"short": "If this coding was chosen directly by the user",
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.userSelected",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "Sometimes implied by being first"
},
{
"identity": "rim",
"map": "CD.codingRationale"
},
{
"identity": "orim",
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id": "Composition.category.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.text",
"short": "Plain text representation of the concept",
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.text",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity": "rim",
"map": "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id": "Composition.subject",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.subject",
"short": "Patient who is the subject of the clinical document",
"definition": "The patient whose care is described by this clinical document.",
"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",
"base": {
"path": "Composition.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.subject[x]"
},
{
"identity": "rim",
"map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
},
{
"identity": "cda",
"map": ".recordTarget"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.subject"
},
{
"identity": "w5",
"map": "FiveWs.subject"
}
]
},
{
"id": "Composition.subject.id",
"path": "Composition.subject.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.subject.extension",
"path": "Composition.subject.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.subject.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.subject.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 1,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.subject.type",
"path": "Composition.subject.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.subject.identifier",
"path": "Composition.subject.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Composition.subject.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Composition.subject.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.encounter",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"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",
"base": {
"path": "Composition.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.context"
},
{
"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.encounter"
}
]
},
{
"id": "Composition.encounter.id",
"path": "Composition.encounter.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.encounter.extension",
"path": "Composition.encounter.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.encounter.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.encounter.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 1,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.encounter.type",
"path": "Composition.encounter.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.encounter.identifier",
"path": "Composition.encounter.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Composition.encounter.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Composition.encounter.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.date",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"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.",
"requirements": "dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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.created"
}
]
},
{
"id": "Composition.author",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.author",
"short": "Who and/or what authored the clinical document",
"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": "*",
"base": {
"path": "Composition.author",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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.agent"
}
]
},
{
"id": "Composition.author.id",
"path": "Composition.author.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.author.extension",
"path": "Composition.author.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.author.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.author.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 1,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.author.type",
"path": "Composition.author.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.author.identifier",
"path": "Composition.author.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Composition.author.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Composition.author.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.title",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"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",
"base": {
"path": "Composition.title",
"min": 1,
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "./title"
},
{
"identity": "cda",
"map": ".title"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.description, DocumentReference.content.attachment.title"
}
]
},
{
"id": "Composition.confidentiality",
"path": "Composition.confidentiality",
"short": "As defined by affinity domain",
"definition": "The code specifying the level of confidentiality of the Composition.",
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.confidentiality",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentConfidentiality"
}
],
"strength": "required",
"description": "Codes specifying the level of confidentiality of the composition.",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26"
},
"mapping": [
{
"identity": "rim",
"map": ".confidentialityCode"
},
{
"identity": "cda",
"map": ".confidentialityCode"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.securityLabel"
}
]
},
{
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
},
{
"identity": "cda",
"map": ".authenticator/.legalAuthenticator"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.authenticator"
}
]
},
{
"id": "Composition.attester.id",
"path": "Composition.attester.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.attester.extension",
"path": "Composition.attester.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.attester.modifierExtension",
"path": "Composition.attester.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.attester.mode",
"path": "Composition.attester.mode",
"short": "personal | professional | legal | official",
"definition": "The type of attestation the authenticator offers.",
"requirements": "Indicates the level of authority of the attestation.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.attester.mode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionAttestationMode"
}
],
"strength": "required",
"description": "The way in which a person authenticated a composition.",
"valueSet": "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "unique(./modeCode)"
},
{
"identity": "cda",
"map": "implied by .authenticator/.legalAuthenticator"
}
]
},
{
"id": "Composition.attester.time",
"path": "Composition.attester.time",
"short": "When the composition was attested",
"definition": "When the composition was attested by the party.",
"requirements": "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).",
"min": 0,
"max": "1",
"base": {
"path": "Composition.attester.time",
"min": 0,
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "./time[type=\"TS\" and isNormalDatatype()]"
},
{
"identity": "cda",
"map": ".authenticator.time"
}
]
},
{
"id": "Composition.attester.party",
"path": "Composition.attester.party",
"short": "Who attested the composition",
"definition": "Who attested the composition in the specified way.",
"requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.attester.party",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.witness"
},
{
"identity": "rim",
"map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]"
},
{
"identity": "cda",
"map": ".authenticator.assignedEnttty"
}
]
},
{
"id": "Composition.custodian",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"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": 1,
"max": "1",
"base": {
"path": "Composition.custodian",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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.custodian.id",
"path": "Composition.custodian.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.custodian.extension",
"path": "Composition.custodian.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.custodian.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.custodian.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 1,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.custodian.type",
"path": "Composition.custodian.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.custodian.identifier",
"path": "Composition.custodian.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Composition.custodian.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Composition.custodian.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.relatesTo",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.relatesTo",
"short": "Relationships to other compositions/documents",
"definition": "Relationships that this composition has with other compositions or documents that already exist.",
"comment": "A document is a version specific composition.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.relatesTo",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship"
},
{
"identity": "cda",
"map": ".relatedDocument"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.relatesTo"
}
]
},
{
"id": "Composition.relatesTo.id",
"path": "Composition.relatesTo.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.relatesTo.extension",
"path": "Composition.relatesTo.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.relatesTo.modifierExtension",
"path": "Composition.relatesTo.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.relatesTo.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.relatesTo.code",
"short": "replaces | transforms | signs | appends",
"definition": "The type of relationship that this composition has with anther composition or document.",
"comment": "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.relatesTo.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentRelationshipType"
}
],
"strength": "required",
"description": "The type of relationship between documents.",
"valueSet": "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship.typeCode"
},
{
"identity": "cda",
"map": ".relatedDocument.typeCode"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.relatesTo.code"
}
]
},
{
"id": "Composition.relatesTo.target[x]",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.relatesTo.target[x]",
"short": "Target of the relationship",
"definition": "The target composition/document of this relationship.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.relatesTo.target[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Identifier"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
},
{
"identity": "cda",
"map": ".relatedDocument.id"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.relatesTo.target"
}
]
},
{
"id": "Composition.event",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event",
"short": "The clinical service(s) being documented",
"definition": "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
"comment": "The event needs to be consistent with the type element, though can provide further information if desired.",
"requirements": "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.event",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
},
{
"identity": "cda",
"map": ".documentationOf.serviceEvent"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.event"
}
]
},
{
"id": "Composition.event.id",
"path": "Composition.event.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.event.extension",
"path": "Composition.event.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.event.modifierExtension",
"path": "Composition.event.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.event.code",
"path": "Composition.event.code",
"short": "Code(s) that apply to the event being documented",
"definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
"comment": "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.event.code",
"min": 0,
"max": "*"
},
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentEventType"
}
],
"strength": "example",
"description": "This list of codes represents the main clinical acts being documented.",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0"
},
"mapping": [
{
"identity": "rim",
"map": ".code"
},
{
"identity": "cda",
"map": ".code"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.event.code"
}
]
},
{
"id": "Composition.event.period",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.period",
"short": "The period covered by the documentation",
"definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.event.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "cda",
"map": ".effectiveTime"
},
{
"identity": "fhirdocumentreference",
"map": "DocumentReference.event.period"
}
]
},
{
"id": "Composition.event.period.id",
"path": "Composition.event.period.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.event.period.extension",
"path": "Composition.event.period.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.event.period.start",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.period.start",
"short": "Starting time with inclusive boundary",
"definition": "The start of the period. The boundary is inclusive.",
"comment": "If the low element is missing, the meaning is that the low boundary is not known.",
"min": 1,
"max": "1",
"base": {
"path": "Period.start",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"condition": [
"per-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "DR.1"
},
{
"identity": "rim",
"map": "./low"
}
]
},
{
"id": "Composition.event.period.end",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.period.end",
"short": "End time with inclusive boundary, if not ongoing",
"definition": "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",
"comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.",
"min": 0,
"max": "1",
"base": {
"path": "Period.end",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
"condition": [
"per-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "DR.2"
},
{
"identity": "rim",
"map": "./high"
}
]
},
{
"id": "Composition.event.detail",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.detail",
"short": "Resources describing the clinical event",
"definition": "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.",
"comment": "Reference the resources relevant to the document's clinical context. This may include a ServiceRequest for a referral, but the profile does not require a referral use case or a ServiceRequest.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.event.detail",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=\"SUBJ\"].target"
},
{
"identity": "cda",
"map": "n/a"
}
]
},
{
"id": "Composition.event.detail.id",
"path": "Composition.event.detail.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.event.detail.extension",
"path": "Composition.event.detail.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.event.detail.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.detail.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 1,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.event.detail.type",
"path": "Composition.event.detail.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.event.detail.identifier",
"path": "Composition.event.detail.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Composition.event.detail.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Composition.event.detail.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.section",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"valueString": "Section"
}
],
"path": "Composition.section",
"short": "Sections composing the clinical document",
"definition": "The root of the sections that make up the composition.",
"min": 1,
"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()",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"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()",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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"
}
]
},
{
"id": "Composition.section.id",
"path": "Composition.section.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 1,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.extension",
"path": "Composition.section.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.modifierExtension",
"path": "Composition.section.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.section.title",
"path": "Composition.section.title",
"short": "Label for section (e.g. for ToC)",
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias": [
"header",
"label",
"caption"
],
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.title",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "./title"
},
{
"identity": "cda",
"map": ".title"
}
]
},
{
"id": "Composition.section.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code",
"short": "Classification of section (recommended)",
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.code",
"min": 0,
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
}
],
"strength": "example",
"description": "Classification of a section of a composition/document.",
"valueSet": "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "./code"
},
{
"identity": "cda",
"map": ".code"
}
]
},
{
"id": "Composition.section.code.id",
"path": "Composition.section.code.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.code.extension",
"path": "Composition.section.code.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.code.coding",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding",
"short": "Code defined by a terminology system",
"definition": "A reference to a code defined by a terminology system.",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 1,
"max": "1",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "Composition.section.code.coding.id",
"path": "Composition.section.code.coding.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.code.coding.extension",
"path": "Composition.section.code.coding.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.code.coding.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.system",
"short": "Identity of the terminology system",
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.3"
},
{
"identity": "rim",
"map": "./codeSystem"
},
{
"identity": "orim",
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id": "Composition.section.code.coding.version",
"path": "Composition.section.code.coding.version",
"short": "Version of the system - if relevant",
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.7"
},
{
"identity": "rim",
"map": "./codeSystemVersion"
},
{
"identity": "orim",
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id": "Composition.section.code.coding.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.code",
"short": "Symbol in syntax defined by the system",
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements": "Need to refer to a particular code in the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1"
},
{
"identity": "rim",
"map": "./code"
},
{
"identity": "orim",
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id": "Composition.section.code.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.display",
"short": "Representation defined by the system",
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.2 - but note this is not well followed"
},
{
"identity": "rim",
"map": "CV.displayName"
},
{
"identity": "orim",
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id": "Composition.section.code.coding.display.id",
"path": "Composition.section.code.coding.display.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references)",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.section.code.coding.display.extension",
"path": "Composition.section.code.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.section.code.coding.display.extension:translation",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.display.extension",
"sliceName": "translation",
"short": "Language Translation (Localization)",
"definition": "Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/translation|5.3.0"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "ST.translation"
}
]
},
{
"id": "Composition.section.code.coding.display.value",
"path": "Composition.section.code.coding.display.value",
"representation": [
"xmlAttr"
],
"short": "Primitive value for string",
"definition": "The actual value",
"min": 0,
"max": "1",
"base": {
"path": "string.value",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"maxLength": 1048576,
"isModifier": false,
"isSummary": false
},
{
"id": "Composition.section.code.coding.userSelected",
"path": "Composition.section.code.coding.userSelected",
"short": "If this coding was chosen directly by the user",
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.userSelected",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "Sometimes implied by being first"
},
{
"identity": "rim",
"map": "CD.codingRationale"
},
{
"identity": "orim",
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id": "Composition.section.code.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.text",
"short": "Plain text representation of the concept",
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.text",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity": "rim",
"map": "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id": "Composition.section.author",
"path": "Composition.section.author",
"short": "Who and/or what authored the section",
"definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
"requirements": "Identifies who is responsible for the content.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.section.author",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
"http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
"http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
"http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.author"
},
{
"identity": "rim",
"map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
},
{
"identity": "cda",
"map": ".author.assignedAuthor"
}
]
},
{
"id": "Composition.section.focus",
"path": "Composition.section.focus",
"short": "Who/what the section is about, when it is not about the subject of composition",
"definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
"comment": "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.focus",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "cda",
"map": ".subject? (CDA did not differentiate between subject and focus)"
}
]
},
{
"id": "Composition.section.text",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.text",
"short": "Text summary of the section, for human interpretation",
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"cmp-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".text"
},
{
"identity": "cda",
"map": ".text"
}
]
},
{
"id": "Composition.section.mode",
"path": "Composition.section.mode",
"short": "working | snapshot | changes",
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
}
],
"strength": "required",
"description": "The processing mode that applies to this section.",
"valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.class"
},
{
"identity": "rim",
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
},
{
"identity": "cda",
"map": "n/a"
}
]
},
{
"id": "Composition.section.orderedBy",
"path": "Composition.section.orderedBy",
"short": "Order of section entries",
"definition": "Specifies the order applied to the items in the section entries.",
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.orderedBy",
"min": 0,
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
}
],
"strength": "preferred",
"description": "What order applies to the items in the entry.",
"valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity": "cda",
"map": "n/a"
}
]
},
{
"id": "Composition.section.entry",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.entry",
"short": "A reference to data that supports this section",
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.section.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
]
}
],
"condition": [
"cmp-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity": "cda",
"map": ".entry"
}
]
},
{
"id": "Composition.section.entry.id",
"path": "Composition.section.entry.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.entry.extension",
"path": "Composition.section.entry.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Composition.section.entry.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/composition|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.entry.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 1,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.section.entry.type",
"path": "Composition.section.entry.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.section.entry.identifier",
"path": "Composition.section.entry.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Composition.section.entry.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Composition.section.entry.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Composition.section.emptyReason",
"path": "Composition.section.emptyReason",
"short": "Why the section is empty",
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.emptyReason",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"cmp-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
}
],
"strength": "preferred",
"description": "If a section is empty, why it is empty.",
"valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
},
{
"identity": "cda",
"map": "n/a"
}
]
},
{
"id": "Composition.section.section",
"path": "Composition.section.section",
"short": "Nested Section",
"definition": "A nested sub-section within this section.",
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.section.section",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
"condition": [
"cmp-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"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.section"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Composition.extension",
"path": "Composition.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Composition.extension:Recipients",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.extension",
"sliceName": "Recipients",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-document-recipient"
]
}
]
},
{
"id": "Composition.identifier",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.identifier",
"min": 1
},
{
"id": "Composition.identifier.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.identifier.system",
"min": 1
},
{
"id": "Composition.identifier.value",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.identifier.value",
"min": 1
},
{
"id": "Composition.status",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.status"
},
{
"id": "Composition.type",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type"
},
{
"id": "Composition.type.coding",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding"
},
{
"id": "Composition.type.coding.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.system"
},
{
"id": "Composition.type.coding.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.code",
"min": 1
},
{
"id": "Composition.type.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.display",
"min": 1
},
{
"id": "Composition.type.coding.display.extension",
"path": "Composition.type.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Composition.type.coding.display.extension:translation",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.coding.display.extension",
"sliceName": "translation",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/translation|5.3.0"
]
}
]
},
{
"id": "Composition.type.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.type.text"
},
{
"id": "Composition.category",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category"
},
{
"id": "Composition.category.coding",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding"
},
{
"id": "Composition.category.coding.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.system"
},
{
"id": "Composition.category.coding.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.code",
"min": 1
},
{
"id": "Composition.category.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.display",
"min": 1
},
{
"id": "Composition.category.coding.display.extension",
"path": "Composition.category.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Composition.category.coding.display.extension:translation",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.coding.display.extension",
"sliceName": "translation",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/translation|5.3.0"
]
}
]
},
{
"id": "Composition.category.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.category.text"
},
{
"id": "Composition.subject",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.subject",
"short": "Patient who is the subject of the clinical document",
"definition": "The patient whose care is described by this clinical document.",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient"
]
}
]
},
{
"id": "Composition.subject.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.subject.reference",
"min": 1
},
{
"id": "Composition.encounter",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.encounter"
},
{
"id": "Composition.encounter.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.encounter.reference",
"min": 1
},
{
"id": "Composition.date",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.date"
},
{
"id": "Composition.author",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.author",
"short": "Who and/or what authored the clinical document",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
]
},
{
"id": "Composition.author.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.author.reference",
"min": 1
},
{
"id": "Composition.title",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.title"
},
{
"id": "Composition.attester.party",
"path": "Composition.attester.party",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
]
},
{
"id": "Composition.custodian",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.custodian",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/organization"
]
}
]
},
{
"id": "Composition.custodian.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.custodian.reference",
"min": 1
},
{
"id": "Composition.relatesTo",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.relatesTo"
},
{
"id": "Composition.relatesTo.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.relatesTo.code"
},
{
"id": "Composition.relatesTo.target[x]",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.relatesTo.target[x]"
},
{
"id": "Composition.event",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event"
},
{
"id": "Composition.event.period",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.period",
"min": 1
},
{
"id": "Composition.event.period.start",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.period.start",
"min": 1
},
{
"id": "Composition.event.period.end",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.period.end"
},
{
"id": "Composition.event.detail",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.detail",
"short": "Resources describing the clinical event",
"comment": "Reference the resources relevant to the document's clinical context. This may include a ServiceRequest for a referral, but the profile does not require a referral use case or a ServiceRequest."
},
{
"id": "Composition.event.detail.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.event.detail.reference",
"min": 1
},
{
"id": "Composition.section",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"valueString": "Section"
}
],
"path": "Composition.section",
"short": "Sections composing the clinical document",
"min": 1
},
{
"id": "Composition.section.id",
"path": "Composition.section.id",
"min": 1
},
{
"id": "Composition.section.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code"
},
{
"id": "Composition.section.code.coding",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding",
"min": 1,
"max": "1"
},
{
"id": "Composition.section.code.coding.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.system",
"min": 1
},
{
"id": "Composition.section.code.coding.code",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.code",
"min": 1
},
{
"id": "Composition.section.code.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.display",
"min": 1
},
{
"id": "Composition.section.code.coding.display.extension",
"path": "Composition.section.code.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Composition.section.code.coding.display.extension:translation",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.coding.display.extension",
"sliceName": "translation",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/translation|5.3.0"
]
}
]
},
{
"id": "Composition.section.code.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.code.text"
},
{
"id": "Composition.section.text",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.text"
},
{
"id": "Composition.section.entry",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.entry"
},
{
"id": "Composition.section.entry.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Composition.section.entry.reference",
"min": 1
}
]
}
}

Constraints

Obligations

ElementActorCode
authorhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
author.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
categoryhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
category.codinghttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
category.coding.codehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
category.coding.displayhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
category.coding.display.extension:translationhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
category.coding.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
category.texthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
custodianhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
custodian.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
datehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
encounterhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
encounter.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
eventhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
event.detailhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
event.detail.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
event.periodhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
event.period.endhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
event.period.starthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
extension:Recipientshttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
identifierhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
identifier.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
identifier.valuehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
relatesTohttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
relatesTo.codehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
relatesTo.target[x]http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
sectionhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.codehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.code.codinghttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.code.coding.codehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.code.coding.displayhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.code.coding.display.extension:translationhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.code.coding.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.code.texthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.entryhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.entry.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
section.texthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
statushttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subjecthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subject.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
titlehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
typehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
type.codinghttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
type.coding.codehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
type.coding.displayhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
type.coding.display.extension:translationhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
type.coding.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
type.texthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error

Terminology bindings (Differential)

Terminology bindings (Snapshot)

PathConformanceValueSet
Composition.languagepreferredhttp://hl7.org/fhir/ValueSet/languages|4.0.1
Composition.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Composition.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
Composition.statusrequiredhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
Composition.typepreferredhttp://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
Composition.categoryexamplehttp://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
Composition.subject.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Composition.encounter.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Composition.author.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Composition.confidentialityrequiredhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
Composition.attester.moderequiredhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
Composition.custodian.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Composition.relatesTo.coderequiredhttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
Composition.event.codeexamplehttp://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
Composition.event.detail.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Composition.section.codeexamplehttp://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
Composition.section.moderequiredhttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
Composition.section.orderedBypreferredhttp://hl7.org/fhir/ValueSet/list-order|4.0.1
Composition.section.entry.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Composition.section.emptyReasonpreferredhttp://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1

Additional Terminology Bindings Only

IG © based on FHIR R4 | template version 2.5.1 | Package package:ca.infoway.io.pcare@0.1.0-dft-preballot
Copyright © 2026 Canada Health Infoway. All rights reserved. Terms of Use & License Agreements. Privacy Policy.
HL7® and FHIR® are the registered trademarks of Health Level Seven International