This page is part of the CH EMED (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) 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

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Resource Profile: CH EMED Medication Treatment Plan Composition

Definition of the composition for the medication treatment plan document

Usage:

• Use this Resource Profile: CH EMED Medication Treatment Plan Document
• Examples for this Resource Profile: Composition/1-1-Composition, Composition/2-3-Composition and Composition/2-5-Composition

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHCoreCompositionEPR

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Treatment Plan Composition
language		1..1	code	Language of the document
identifier
value		1..1	string	The value that is unique Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status		1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final
type	C	1..1	CodeableConcept	Medication treatment plan report (record artifact) ch-emed-comp-mtp: If a LOINC code is additionally provided, '77603-9' shall be used for this document type. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761931002
subject		1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
date		1..1	dateTime	The document's creation date and time
Slices for 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 Slice: Unordered, Closed by profile:resolve()
author:person		1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the document (person)
author:device		0..*	Reference(Device)	The device that created the document
title		1..1	string	'Therapieentscheid Medikation' in german or 'Décision thérapeutique relative à la médication' in french or 'Decisione terapeutica di trattamento farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
confidentiality
extension:confidentialityCode		1..1	EPRConfidentialityCode	Swiss realm of confidentiality code according to the Swiss EPR regulation
attester		0..*	BackboneElement	The authenticator of the document (person)
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
time		0..1	dateTime	Timestamp of the signature
section		1..*	BackboneElement	Composition is broken into sections
section:treatmentPlan		1..1	BackboneElement	Medication treatment plan
title		1..1	string	'Medikamentöser Behandlungsplan' in german or 'Plan de traitement médicamenteux' in french or 'Piano terapeutico farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77604-7
text		1..1	Narrative	Human readable text of this section
entry		1..1	Reference(CH EMED MedicationStatement)	Medication statement
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section		0..0
section:annotation		0..1	BackboneElement	Annotation
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text		1..1	Narrative	Human readable text of this section
section		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-mtp	error	Composition.type	If a LOINC code is additionally provided, '77603-9' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '77603-9'))

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Treatment Plan Composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medication treatment plan report (record artifact) Binding: DocumentEntry.typeCode (extensible) ch-emed-comp-mtp: If a LOINC code is additionally provided, '77603-9' shall be used for this document type. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761931002
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	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 Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the document (person)
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:device	Σ	0..*	Reference(Device)	The device that created the document
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
title	Σ	1..1	string	'Therapieentscheid Medikation' in german or 'Décision thérapeutique relative à la médication' in french or 'Decisione terapeutica di trattamento farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:originalRepresentation	C	0..1	BackboneElement	Contains the original representation as a PDF of the current document.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Original representation
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
text	C	1..1	Narrative	Representation of the original view
entry	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
narrativeLink		0..1	url	narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
section:treatmentPlan	C	1..1	BackboneElement	Medication treatment plan
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Medikamentöser Behandlungsplan' in german or 'Plan de traitement médicamenteux' in french or 'Piano terapeutico farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77604-7
text	C	1..1	Narrative	Human readable text of this section
entry	C	1..1	Reference(CH EMED MedicationStatement)	Medication statement
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:annotation	C	0..1	BackboneElement	Annotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text	C	1..1	Narrative	Human readable text of this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	IdentifierUse
Composition.status	required	Fixed Value: final
Composition.type	extensible	Pattern: SNOMED CT code 761931002
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal
Composition.section:originalRepresentation.code	example	Pattern: LOINC code 55108-5
Composition.section:treatmentPlan.code	example	Pattern: LOINC code 77604-7
Composition.section:annotation.code	example	Pattern: LOINC code 48767-8

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-mtp	error	Composition.type	If a LOINC code is additionally provided, '77603-9' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '77603-9'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	error	Composition	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	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Treatment Plan Composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension 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..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description 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	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medication treatment plan report (record artifact) Binding: DocumentEntry.typeCode (extensible) ch-emed-comp-mtp: If a LOINC code is additionally provided, '77603-9' shall be used for this document type. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761931002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(CH Core Encounter)	Context of the Composition
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	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 Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the document (person)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:device	Σ	0..*	Reference(Device)	The device that created the document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	Σ	1..1	string	'Therapieentscheid Medikation' in german or 'Décision thérapeutique relative à la médication' in french or 'Decisione terapeutica di trattamento farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
value		0..1	string	Primitive value for code
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(CH Core Organization EPR)	Organization which maintains the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification 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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:originalRepresentation	C	0..1	BackboneElement	Contains the original representation as a PDF of the current document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Original representation
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain 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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Representation of the original view
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
narrativeLink		0..1	url	narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:treatmentPlan	C	1..1	BackboneElement	Medication treatment plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Medikamentöser Behandlungsplan' in german or 'Plan de traitement médicamenteux' in french or 'Piano terapeutico farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77604-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(CH EMED MedicationStatement)	Medication statement
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotation	C	0..1	BackboneElement	Annotation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	IdentifierUse
Composition.identifier.type	extensible	Identifier Type Codes
Composition.status	required	Fixed Value: final
Composition.type	extensible	Pattern: SNOMED CT code 761931002
Composition.category	example	DocumentClassValueSet
Composition.subject.type	extensible	ResourceType
Composition.author.type	extensible	ResourceType
Composition.author:person.type	extensible	ResourceType
Composition.author:device.type	extensible	ResourceType
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.attester.party.type	extensible	ResourceType
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal
Composition.attester:legalAuthenticator.party.type	extensible	ResourceType
Composition.custodian.type	extensible	ResourceType
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:originalRepresentation.code	example	Pattern: LOINC code 55108-5
Composition.section:originalRepresentation.mode	required	ListMode
Composition.section:originalRepresentation.orderedBy	preferred	ListOrderCodes
Composition.section:originalRepresentation.entry.type	extensible	ResourceType
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons
Composition.section:treatmentPlan.code	example	Pattern: LOINC code 77604-7
Composition.section:treatmentPlan.mode	required	ListMode
Composition.section:treatmentPlan.orderedBy	preferred	ListOrderCodes
Composition.section:treatmentPlan.entry.type	extensible	ResourceType
Composition.section:treatmentPlan.emptyReason	preferred	ListEmptyReasons
Composition.section:annotation.code	example	Pattern: LOINC code 48767-8
Composition.section:annotation.mode	required	ListMode
Composition.section:annotation.orderedBy	preferred	ListOrderCodes
Composition.section:annotation.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-mtp	error	Composition.type	If a LOINC code is additionally provided, '77603-9' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '77603-9'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	error	Composition	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	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCoreCompositionEPR

Summary

Mandatory: 8 elements (3 nested mandatory elements)
Fixed Value: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED PractitionerRole (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole)
• CH Core Patient EPR (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr)
• CH EMED MedicationStatement (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement)

Slices

This structure defines the following Slices:

• The element Composition.author is sliced based on the value of profile:resolve() (Closed)

Differential View

This structure is derived from CHCoreCompositionEPR

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Treatment Plan Composition
language		1..1	code	Language of the document
identifier
value		1..1	string	The value that is unique Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status		1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final
type	C	1..1	CodeableConcept	Medication treatment plan report (record artifact) ch-emed-comp-mtp: If a LOINC code is additionally provided, '77603-9' shall be used for this document type. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761931002
subject		1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
date		1..1	dateTime	The document's creation date and time
Slices for 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 Slice: Unordered, Closed by profile:resolve()
author:person		1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the document (person)
author:device		0..*	Reference(Device)	The device that created the document
title		1..1	string	'Therapieentscheid Medikation' in german or 'Décision thérapeutique relative à la médication' in french or 'Decisione terapeutica di trattamento farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
confidentiality
extension:confidentialityCode		1..1	EPRConfidentialityCode	Swiss realm of confidentiality code according to the Swiss EPR regulation
attester		0..*	BackboneElement	The authenticator of the document (person)
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
time		0..1	dateTime	Timestamp of the signature
section		1..*	BackboneElement	Composition is broken into sections
section:treatmentPlan		1..1	BackboneElement	Medication treatment plan
title		1..1	string	'Medikamentöser Behandlungsplan' in german or 'Plan de traitement médicamenteux' in french or 'Piano terapeutico farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77604-7
text		1..1	Narrative	Human readable text of this section
entry		1..1	Reference(CH EMED MedicationStatement)	Medication statement
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section		0..0
section:annotation		0..1	BackboneElement	Annotation
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text		1..1	Narrative	Human readable text of this section
section		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-mtp	error	Composition.type	If a LOINC code is additionally provided, '77603-9' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '77603-9'))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Treatment Plan Composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medication treatment plan report (record artifact) Binding: DocumentEntry.typeCode (extensible) ch-emed-comp-mtp: If a LOINC code is additionally provided, '77603-9' shall be used for this document type. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761931002
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	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 Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the document (person)
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:device	Σ	0..*	Reference(Device)	The device that created the document
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
title	Σ	1..1	string	'Therapieentscheid Medikation' in german or 'Décision thérapeutique relative à la médication' in french or 'Decisione terapeutica di trattamento farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:originalRepresentation	C	0..1	BackboneElement	Contains the original representation as a PDF of the current document.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Original representation
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
text	C	1..1	Narrative	Representation of the original view
entry	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
narrativeLink		0..1	url	narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
section:treatmentPlan	C	1..1	BackboneElement	Medication treatment plan
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Medikamentöser Behandlungsplan' in german or 'Plan de traitement médicamenteux' in french or 'Piano terapeutico farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77604-7
text	C	1..1	Narrative	Human readable text of this section
entry	C	1..1	Reference(CH EMED MedicationStatement)	Medication statement
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:annotation	C	0..1	BackboneElement	Annotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text	C	1..1	Narrative	Human readable text of this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	IdentifierUse
Composition.status	required	Fixed Value: final
Composition.type	extensible	Pattern: SNOMED CT code 761931002
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal
Composition.section:originalRepresentation.code	example	Pattern: LOINC code 55108-5
Composition.section:treatmentPlan.code	example	Pattern: LOINC code 77604-7
Composition.section:annotation.code	example	Pattern: LOINC code 48767-8

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-mtp	error	Composition.type	If a LOINC code is additionally provided, '77603-9' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '77603-9'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	error	Composition	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	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Treatment Plan Composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension 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..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description 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	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medication treatment plan report (record artifact) Binding: DocumentEntry.typeCode (extensible) ch-emed-comp-mtp: If a LOINC code is additionally provided, '77603-9' shall be used for this document type. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761931002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(CH Core Encounter)	Context of the Composition
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	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 Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the document (person)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:device	Σ	0..*	Reference(Device)	The device that created the document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	Σ	1..1	string	'Therapieentscheid Medikation' in german or 'Décision thérapeutique relative à la médication' in french or 'Decisione terapeutica di trattamento farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
value		0..1	string	Primitive value for code
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(CH Core Organization EPR)	Organization which maintains the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification 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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:originalRepresentation	C	0..1	BackboneElement	Contains the original representation as a PDF of the current document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Original representation
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain 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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Representation of the original view
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
narrativeLink		0..1	url	narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:treatmentPlan	C	1..1	BackboneElement	Medication treatment plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Medikamentöser Behandlungsplan' in german or 'Plan de traitement médicamenteux' in french or 'Piano terapeutico farmacologico' in italian or 'Medication Treatment Plan' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77604-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(CH EMED MedicationStatement)	Medication statement
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotation	C	0..1	BackboneElement	Annotation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	IdentifierUse
Composition.identifier.type	extensible	Identifier Type Codes
Composition.status	required	Fixed Value: final
Composition.type	extensible	Pattern: SNOMED CT code 761931002
Composition.category	example	DocumentClassValueSet
Composition.subject.type	extensible	ResourceType
Composition.author.type	extensible	ResourceType
Composition.author:person.type	extensible	ResourceType
Composition.author:device.type	extensible	ResourceType
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.attester.party.type	extensible	ResourceType
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal
Composition.attester:legalAuthenticator.party.type	extensible	ResourceType
Composition.custodian.type	extensible	ResourceType
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:originalRepresentation.code	example	Pattern: LOINC code 55108-5
Composition.section:originalRepresentation.mode	required	ListMode
Composition.section:originalRepresentation.orderedBy	preferred	ListOrderCodes
Composition.section:originalRepresentation.entry.type	extensible	ResourceType
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons
Composition.section:treatmentPlan.code	example	Pattern: LOINC code 77604-7
Composition.section:treatmentPlan.mode	required	ListMode
Composition.section:treatmentPlan.orderedBy	preferred	ListOrderCodes
Composition.section:treatmentPlan.entry.type	extensible	ResourceType
Composition.section:treatmentPlan.emptyReason	preferred	ListEmptyReasons
Composition.section:annotation.code	example	Pattern: LOINC code 48767-8
Composition.section:annotation.mode	required	ListMode
Composition.section:annotation.orderedBy	preferred	ListOrderCodes
Composition.section:annotation.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-mtp	error	Composition.type	If a LOINC code is additionally provided, '77603-9' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '77603-9'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:treatmentPlan, Composition.section:annotation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	error	Composition	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	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCoreCompositionEPR

Summary

Mandatory: 8 elements (3 nested mandatory elements)
Fixed Value: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED PractitionerRole (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole)
• CH Core Patient EPR (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr)
• CH EMED MedicationStatement (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement)

Slices

This structure defines the following Slices:

• The element Composition.author is sliced based on the value of profile:resolve() (Closed)