CH Core (R4)
4.0.0-ballot - ballot Switzerland flag

This page is part of the CH Core (R4) (v4.0.0-ballot: STU Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core Composition EPR

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-composition-epr Version: 4.0.0-ballot
Active as of 2023-06-27 Computable Name: CHCoreCompositionEPR

Copyright/Legal: CC0-1.0

Base definition for a composition in the context of the electronic patient record (EPR).

Usage:

Formal Views of Profile Content

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

This structure is derived from CHCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH Core Composition EPR
... language 1..1codeLanguage of the resource content
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... identifier 1..1IdentifierVersion-independent identifier for the Composition
.... system 1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value 1..1stringThe value that is unique
... type 1..1CodeableConceptKind of composition (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... subject 1..1Reference(CH Core Patient EPR)Who and/or what the composition is about
... author 1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the composition
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
... confidentiality 1..1codeAs defined by affinity domain
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... mode 1..1codepersonal | professional | legal | official
Fixed Value: legal
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the composition
... relatesTo
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... Slices for section 0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... author 0..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the section
.... section:originalRepresentation 0..1BackboneElementContains the original representation as a PDF of the current document.
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
..... text 1..1NarrativeRepresentation of the original view
..... entry 1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Composition.typeextensibleDocumentEntryTypeCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH Core Composition EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer 0..1(Complex)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierVersion-independent identifier for the Composition
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringThe value that is unique
Example General: 123456
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... subject Σ1..1Reference(CH Core Patient EPR)Who and/or what the composition is about
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the composition
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ1..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... custodian Σ0..1Reference(CH Core Organization EPR)Organization which maintains the composition
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... Slices for section C0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... author 0..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the section
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
..... text C1..1NarrativeRepresentation of the original view
..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.identifier.userequiredIdentifierUse
Composition.statusrequiredCompositionStatus
Composition.typeextensibleDocumentEntryTypeCode
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legalAuthenticator.moderequiredFixed Value: legal
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:originalRepresentationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH Core Composition EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1(Complex)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierVersion-independent identifier for the Composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(CH Core Patient EPR)Who and/or what the composition is about
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(CH Core Encounter)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the composition
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ1..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
.... value 0..1stringPrimitive value for code
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)Who attested the composition
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1dateTimeWhen the composition was attested
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
... custodian Σ0..1Reference(CH Core Organization EPR)Organization which maintains the composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section C0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

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

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

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

..... section C0..*See section (Composition)Nested Section
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C1..1NarrativeRepresentation of the original view
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.identifier.userequiredIdentifierUse
Composition.identifier.typeextensibleIdentifier Type Codes
Composition.statusrequiredCompositionStatus
Composition.typeextensibleDocumentEntryTypeCode
Composition.categoryexampleDocumentClassValueSet
Composition.subject.typeextensibleResourceType
Composition.author.typeextensibleResourceType
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester.party.typeextensibleResourceType
Composition.attester:legalAuthenticator.moderequiredFixed Value: legal
Composition.attester:legalAuthenticator.party.typeextensibleResourceType
Composition.custodian.typeextensibleResourceType
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexampleActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5
Composition.section:originalRepresentation.moderequiredListMode
Composition.section:originalRepresentation.orderedBypreferredListOrderCodes
Composition.section:originalRepresentation.entry.typeextensibleResourceType
Composition.section:originalRepresentation.emptyReasonpreferredListEmptyReasons

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:originalRepresentationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CHCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH Core Composition EPR
... language 1..1codeLanguage of the resource content
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... identifier 1..1IdentifierVersion-independent identifier for the Composition
.... system 1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value 1..1stringThe value that is unique
... type 1..1CodeableConceptKind of composition (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... subject 1..1Reference(CH Core Patient EPR)Who and/or what the composition is about
... author 1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the composition
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
... confidentiality 1..1codeAs defined by affinity domain
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... mode 1..1codepersonal | professional | legal | official
Fixed Value: legal
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the composition
... relatesTo
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... Slices for section 0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... author 0..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the section
.... section:originalRepresentation 0..1BackboneElementContains the original representation as a PDF of the current document.
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
..... text 1..1NarrativeRepresentation of the original view
..... entry 1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Composition.typeextensibleDocumentEntryTypeCode

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH Core Composition EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer 0..1(Complex)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierVersion-independent identifier for the Composition
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringThe value that is unique
Example General: 123456
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... subject Σ1..1Reference(CH Core Patient EPR)Who and/or what the composition is about
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the composition
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ1..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... custodian Σ0..1Reference(CH Core Organization EPR)Organization which maintains the composition
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... Slices for section C0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... author 0..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the section
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
..... text C1..1NarrativeRepresentation of the original view
..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.identifier.userequiredIdentifierUse
Composition.statusrequiredCompositionStatus
Composition.typeextensibleDocumentEntryTypeCode
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legalAuthenticator.moderequiredFixed Value: legal
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:originalRepresentationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH Core Composition EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1(Complex)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierVersion-independent identifier for the Composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(CH Core Patient EPR)Who and/or what the composition is about
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(CH Core Encounter)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)Who and/or what authored the composition
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ1..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
.... value 0..1stringPrimitive value for code
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)Who attested the composition
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
.... attester:legalAuthenticator 0..1BackboneElementlegal authenticator
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1dateTimeWhen the composition was attested
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
... custodian Σ0..1Reference(CH Core Organization EPR)Organization which maintains the composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section C0..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

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

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

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

..... section C0..*See section (Composition)Nested Section
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C1..1NarrativeRepresentation of the original view
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC