This page is part of the CH ORF (R4) (v3.0.0: STU 3) 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 ORF Composition

Profile to specify how the generic elements (e.g. patient, author) and the healthcare domain specific elements must be structured in the Composition as the first entry of the document.

Usage:

• Use this Resource Profile: CH ORF Document
• Examples for this Resource Profile: Composition/comp-order-referral-form

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 CHCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	CH ORF Composition
text	S	1..1	Narrative	Narrative text of the composition
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
copyReceiver	S	0..*	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred)
category	S	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred)
subject	S	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content
author	S	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
title	S	1..1	string	Meaningful title
Slices for section	S	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:orderReferral	S	1..1	BackboneElement	Contains the data that supports the order and referral by form.
title	S	1..1	string	Order-Referral
code	S	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: 93037-0
text	S	0..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	S	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:Questionnaire	S	0..1	Reference(CH ORF Questionnaire)	Questionnaire
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry:QuestionnaireResponse	S	0..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry:ServiceRequest	S	1..*	Reference(CH ORF ServiceRequest)	ServiceRequest
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry:DocumentReference	S	0..*	Reference(CH ORF DocumentReference)	DocumentReference
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
section		0..0
section:originalRepresentation	S	0..1	BackboneElement	Contains the original representation as a PDF of the current document.
title	S	1..1	string	Original representation
code	S	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: 55108-5
text	S	1..1	Narrative	Representation of the original view
entry	S	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	preferred	DocumentEntryTypeCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	preferred	DocumentEntryClassCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	CH ORF Composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text	S	1..1	Narrative	Narrative text of the composition ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
copyReceiver	S	0..*	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred) ele-1: All FHIR elements must have a @value or children
category	SΣ	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Meaningful title ele-1: All FHIR elements must have a @value or children
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
section:orderReferral	SC	1..1	BackboneElement	Contains the data that supports the order and referral by form. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Order-Referral ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 93037-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:Questionnaire	SC	0..1	Reference(CH ORF Questionnaire)	Questionnaire ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:QuestionnaireResponse	SC	0..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:ServiceRequest	SC	1..*	Reference(CH ORF ServiceRequest)	ServiceRequest ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:DocumentReference	SC	0..*	Reference(CH ORF DocumentReference)	DocumentReference ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
section:originalRepresentation	SC	0..1	BackboneElement	Contains the original representation as a PDF of the current document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Original representation ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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	SC	1..1	Narrative	Representation of the original view ele-1: All FHIR elements must have a @value or children
entry	SC	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	DocumentEntryTypeCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	preferred	DocumentEntryClassCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.section:orderReferral.code	example	Pattern: LOINC Code 93037-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation	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:orderReferral, Composition.section:originalRepresentation	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..*	CHCoreComposition	CH ORF 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		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Narrative text of the composition
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
copyReceiver	S	0..*	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred)
category	SΣ	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred)
subject	SΣ	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content
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	Composition editing time
author	SΣ	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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
title	SΣ	1..1	string	Meaningful title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
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
custodian	Σ	0..1	Reference(CH Core Organization)	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)
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	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 | 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	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:orderReferral	SC	1..1	BackboneElement	Contains the data that supports the order and referral by form. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	S	1..1	string	Order-Referral
code	S	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: 93037-0
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	SC	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.
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:Questionnaire	SC	0..1	Reference(CH ORF Questionnaire)	Questionnaire
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	SΣC	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
entry:QuestionnaireResponse	SC	0..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse
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	SΣC	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
entry:ServiceRequest	SC	1..*	Reference(CH ORF ServiceRequest)	ServiceRequest
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	SΣC	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
entry:DocumentReference	SC	0..*	Reference(CH ORF DocumentReference)	DocumentReference
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	SΣC	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:originalRepresentation	SC	0..1	BackboneElement	Contains the original representation as a PDF of the current document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	S	1..1	string	Original representation
code	S	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	SC	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	SC	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
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	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	DocumentEntryTypeCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	preferred	DocumentEntryClassCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.custodian.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:orderReferral.code	example	Pattern: LOINC Code 93037-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:orderReferral.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:orderReferral.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:orderReferral.entry:Questionnaire.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.entry:QuestionnaireResponse.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.entry:ServiceRequest.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.entry:DocumentReference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:originalRepresentation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation	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:orderReferral, Composition.section:originalRepresentation	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 CHCoreComposition

Summary

Mandatory: 10 elements(7 nested mandatory elements)
Must-Support: 35 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH Core PractitionerRole (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole)
• CH ORF Questionnaire (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire)
• CH ORF QuestionnaireResponse (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse)
• CH ORF ServiceRequest (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest)
• CH ORF DocumentReference (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-documentreference)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from CHCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	CH ORF Composition
text	S	1..1	Narrative	Narrative text of the composition
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
copyReceiver	S	0..*	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred)
category	S	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred)
subject	S	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content
author	S	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
title	S	1..1	string	Meaningful title
Slices for section	S	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:orderReferral	S	1..1	BackboneElement	Contains the data that supports the order and referral by form.
title	S	1..1	string	Order-Referral
code	S	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: 93037-0
text	S	0..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	S	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:Questionnaire	S	0..1	Reference(CH ORF Questionnaire)	Questionnaire
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry:QuestionnaireResponse	S	0..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry:ServiceRequest	S	1..*	Reference(CH ORF ServiceRequest)	ServiceRequest
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry:DocumentReference	S	0..*	Reference(CH ORF DocumentReference)	DocumentReference
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
section		0..0
section:originalRepresentation	S	0..1	BackboneElement	Contains the original representation as a PDF of the current document.
title	S	1..1	string	Original representation
code	S	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: 55108-5
text	S	1..1	Narrative	Representation of the original view
entry	S	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	preferred	DocumentEntryTypeCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	preferred	DocumentEntryClassCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	CH ORF Composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text	S	1..1	Narrative	Narrative text of the composition ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
copyReceiver	S	0..*	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred) ele-1: All FHIR elements must have a @value or children
category	SΣ	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Meaningful title ele-1: All FHIR elements must have a @value or children
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
section:orderReferral	SC	1..1	BackboneElement	Contains the data that supports the order and referral by form. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Order-Referral ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 93037-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:Questionnaire	SC	0..1	Reference(CH ORF Questionnaire)	Questionnaire ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:QuestionnaireResponse	SC	0..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:ServiceRequest	SC	1..*	Reference(CH ORF ServiceRequest)	ServiceRequest ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:DocumentReference	SC	0..*	Reference(CH ORF DocumentReference)	DocumentReference ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
section:originalRepresentation	SC	0..1	BackboneElement	Contains the original representation as a PDF of the current document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Original representation ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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	SC	1..1	Narrative	Representation of the original view ele-1: All FHIR elements must have a @value or children
entry	SC	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	DocumentEntryTypeCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	preferred	DocumentEntryClassCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.section:orderReferral.code	example	Pattern: LOINC Code 93037-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation	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:orderReferral, Composition.section:originalRepresentation	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..*	CHCoreComposition	CH ORF 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		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Narrative text of the composition
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
copyReceiver	S	0..*	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred)
category	SΣ	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred)
subject	SΣ	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content
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	Composition editing time
author	SΣ	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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
title	SΣ	1..1	string	Meaningful title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
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
custodian	Σ	0..1	Reference(CH Core Organization)	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)
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	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 | 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	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:orderReferral	SC	1..1	BackboneElement	Contains the data that supports the order and referral by form. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	S	1..1	string	Order-Referral
code	S	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: 93037-0
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	SC	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.
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:Questionnaire	SC	0..1	Reference(CH ORF Questionnaire)	Questionnaire
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	SΣC	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
entry:QuestionnaireResponse	SC	0..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse
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	SΣC	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
entry:ServiceRequest	SC	1..*	Reference(CH ORF ServiceRequest)	ServiceRequest
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	SΣC	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
entry:DocumentReference	SC	0..*	Reference(CH ORF DocumentReference)	DocumentReference
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	SΣC	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:originalRepresentation	SC	0..1	BackboneElement	Contains the original representation as a PDF of the current document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	S	1..1	string	Original representation
code	S	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	SC	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	SC	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
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	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	DocumentEntryTypeCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	preferred	DocumentEntryClassCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.custodian.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:orderReferral.code	example	Pattern: LOINC Code 93037-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:orderReferral.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:orderReferral.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:orderReferral.entry:Questionnaire.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.entry:QuestionnaireResponse.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.entry:ServiceRequest.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.entry:DocumentReference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:orderReferral.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:originalRepresentation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation	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:orderReferral, Composition.section:originalRepresentation	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 CHCoreComposition

Summary

Mandatory: 10 elements(7 nested mandatory elements)
Must-Support: 35 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH Core PractitionerRole (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole)
• CH ORF Questionnaire (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire)
• CH ORF QuestionnaireResponse (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse)
• CH ORF ServiceRequest (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest)
• CH ORF DocumentReference (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-documentreference)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry