CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) 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
| Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationcard | Version: 1.0.0 | |||
| Draft as of 2024-01-26 | Computable Name: CHEMEDEPRCompositionMedicationCard | |||
Copyright/Legal: CC0-1.0 |
||||
Definition of the composition for the medication card document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDCompositionMedicationCard
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | CHEMEDCompositionMedicationCard | CH EMED Medication Card Composition | |
  meta | ||||
   extension | D | 0..* | Extension | ✕ This element is not supported |
| versionId | D | 0..1 | id | ✕ This element is not supported |
| lastUpdated | D | 0..1 | instant | ✕ This element is not supported |
| source | D | 0..1 | uri | ✕ This element is not supported |
| security | D | 0..* | Coding | ✕ This element is not supported |
 tag | D | 0..* | Coding | ✕ This element is not supported |
| implicitRules | 0..0 | |||
 modifierExtension | 0..0 | |||
| identifier | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| use | 0..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: official | |
| type | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| value | C | 1..1 | string | The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') |
| period | D | 0..1 | Period | ✕ This element is not supported |
 assigner | D | 0..1 | Reference(CH EMED EPR Organization) | ✕ This element is not supported |
| type | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
 coding | ||||
 extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| encounter | D | 0..1 | Reference(CH Core Encounter) | ✕ This element is not supported |
| date | C | 1..1 | dateTime | The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') |
| author | 1..1 | Reference(CH EMED EPR Device) | The author of the document (person or device) | |
| confidentiality | 1..1 | code | The confidentiality is fixed to the 'normal' level Required Pattern: N | |
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | 1..1 | Extension | Extension | |
 extension:confidentialityCode | 1..1 | EPRConfidentialityCode | Extension | |
 value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension | |
 extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
 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: 17621005 | |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| attester | D | 0..* | BackboneElement | ✕ This element is not supported |
| attester:legalAuthenticator | D | 0..1 | BackboneElement | ✕ This element is not supported |
| custodian | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| relatesTo | D | 0..* | BackboneElement | ✕ This element is not supported |
| code | 1..1 | code | replaces | transforms | signs | appends Required Pattern: replaces | |
| event | D | 0..* | BackboneElement | ✕ This element is not supported |
| section | 2..* | BackboneElement | Composition is broken into sections | |
| modifierExtension | 0..0 | |||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| focus | D | 0..1 | Reference(Resource) | ✕ This element is not supported |
| mode | 0..1 | code | working | snapshot | changes Required Pattern: snapshot | |
| orderedBy | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| entry | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| section:originalRepresentation | 1..1 | BackboneElement | Original representation | |
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| modifierExtension | 0..0 | |||
 code | ||||
 extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| focus | D | 0..1 | Reference(Resource) | ✕ This element is not supported |
| entry | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document. | |
| id | D | 0..1 | string | ✕ This element is not supported |
| emptyReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
 section | D | 0..0 | ||
| section:card | 1..1 | BackboneElement | Medication card | |
| modifierExtension | 0..0 | |||
| author | 0..0 | |||
| text | 0..1 | Narrative | Description of the parameters used to generate this medication card. | |
| section:annotation | 0..1 | BackboneElement | Annotation comment concerning this document | |
| id | D | 0..1 | string | ✕ This element is not supported |
| modifierExtension | 0..0 | |||
| code | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| focus | D | 0..1 | Reference(Resource) | ✕ This element is not supported |
| emptyReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| section | D | 0..0 | ||
| section:vitalSigns | 0..1 | BackboneElement | IPS Vital Signs Section | |
| modifierExtension | 0..0 | |||
| 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: 8716-3 | |
| coding | 1..* | Coding | Code defined by a terminology system | |
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| entry | 1..1 | Reference(Body Weight Observation) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| datetime-only-instant-invariant | error | Composition.date | The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$') | |
| urn-uuid-invariant | error | Composition.identifier.value | The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$') |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | CHEMEDCompositionMedicationCard | CH EMED Medication Card Composition | |||||
 language | 1..1 | code | Language of the document Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
 identifier | Σ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| extension | 0..* | Extension | ✕ This element is not supported 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 . Required Pattern: official | ||||
| type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported 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 | ΣC | 1..1 | string | The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | ✕ This element is not supported | ||||
| assigner | Σ | 0..1 | Reference(CH EMED EPR Organization) | ✕ This element is not supported | ||||
| 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 management plan (record artifact) Binding: DocumentEntry.typeCode (extensible) 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: 736378000 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| subject | SΣ | 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 | ||||
| encounter | Σ | 0..1 | Reference(CH Core Encounter) | ✕ This element is not supported | ||||
| date | SΣC | 1..1 | dateTime | The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') | ||||
| author | SΣ | 1..1 | Reference(CH EMED EPR Device) | The author of the document (person or device) | ||||
| 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 | 'Medikationsplan' in german or 'Plan de médication' in french or 'Piano farmacologico' in italian or 'Medication Card' in english or titles in other languages are also allowed | ||||
| confidentiality | Σ | 1..1 | code | The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Required Pattern: N | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| Slices for extension | 1..1 | Extension | Extension Slice: Unordered, Open by value:url | |||||
| confidentialityCode | 1..1 | CodeableConcept | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode" | |||||
 Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
 value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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: 17621005 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| Slices for attester | 0..* | BackboneElement | ✕ This element is not supported 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 | ✕ This element is not supported | |||||
| 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 | |||||
| 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 | ||||
| relatesTo | 0..* | BackboneElement | ✕ This element is not supported | |||||
| 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. Required Pattern: replaces | |||||
 target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(CH Core Composition EPR) | |||||||
| event | Σ | 0..* | BackboneElement | ✕ This element is not supported | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| Slices for section | C | 2..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | ||||
| section:All Slices | Content/Rules for all slices | |||||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: snapshot | |||||
| orderedBy | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| section:originalRepresentation | SC | 1..1 | BackboneElement | Original representation | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported | |||||
| title | 1..1 | string | 'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' 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: 55108-5 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| text | C | 1..1 | Narrative | Representation of the original view | ||||
| 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. The PDF shall be contained locally in the document. | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| narrativeLink | 0..1 | url | narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink | |||||
| emptyReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:card | SC | 1..1 | BackboneElement | Medication card | ||||
| title | 1..1 | string | 'Medikamentenliste' in german or 'Liste de médicaments' in french or 'Lista farmaci' in italian or 'Medication List' 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: 10160-0 | |||||
| text | C | 0..1 | Narrative | Description of the parameters used to generate this medication card. | ||||
| entry | SC | 0..* | Reference(CH EMED MedicationStatement (CARD)) | Medication statement | ||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| section:annotation | SC | 0..1 | BackboneElement | Annotation comment concerning this document | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| 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 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| text | SC | 1..1 | Narrative | Human readable text of this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:vitalSigns | C | 0..1 | BackboneElement | IPS Vital Signs Section | ||||
| 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: 8716-3 | |||||
| coding | Σ | 1..* | Coding | Code defined by a terminology system | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| entry | C | 1..1 | Reference(Body Weight Observation) | A reference to data that supports this section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.identifier.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Composition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: SNOMED CT code 736378000http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode | ||||
| Composition.confidentiality | required | Pattern: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.confidentialityCode | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.attester:legalAuthenticator.mode | required | Fixed Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | Pattern: replaceshttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.section.mode | required | Pattern: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:card.code | example | Pattern: LOINC code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:annotation.code | example | Pattern: LOINC code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:annotation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.code | example | Pattern: LOINC code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-emed-comp-card | error | Composition.type | If a LOINC code is additionally provided, '56445-0' shall be used for this document type. : coding.exists(system = 'http://loinc.org') implies (coding.exists(system = 'http://loinc.org' and code = '56445-0')) | |
| cmp-1 | error | Composition.section, Composition.section:originalRepresentation, Composition.section:card, Composition.section:annotation, Composition.section:vitalSigns | 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:card, Composition.section:annotation, Composition.section:vitalSigns | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| datetime-only-instant-invariant | error | Composition.date | The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$') | |
| 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() | |
| urn-uuid-invariant | error | Composition.identifier.value | The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$') |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | CHEMEDCompositionMedicationCard | CH EMED Medication Card Composition | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated | Σ | 0..1 | instant | ✕ This element is not supported | ||||
| source | Σ | 0..1 | uri | ✕ This element is not supported | ||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| language | 1..1 | code | Language of the document Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| identifier | Σ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported 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 . Required Pattern: official | ||||
| type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported 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 | ΣC | 1..1 | string | The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | ✕ This element is not supported | ||||
| assigner | Σ | 0..1 | Reference(CH EMED EPR Organization) | ✕ This element is not supported | ||||
| 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 management plan (record artifact) Binding: DocumentEntry.typeCode (extensible) 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: 736378000 | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 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 | SΣ | 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) | ✕ This element is not supported | ||||
| date | SΣC | 1..1 | dateTime | The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') | ||||
| author | SΣ | 1..1 | Reference(CH EMED EPR Device) | The author of the document (person or device) | ||||
| 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 | 'Medikationsplan' in german or 'Plan de médication' in french or 'Piano farmacologico' in italian or 'Medication Card' in english or titles in other languages are also allowed | ||||
| confidentiality | Σ | 1..1 | code | The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Required Pattern: N | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| Slices for extension | 1..1 | Extension | Extension Slice: Unordered, Open by value:url | |||||
| confidentialityCode | 1..1 | CodeableConcept | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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: 17621005 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| value | 0..1 | string | Primitive value for code | |||||
| Slices for attester | 0..* | BackboneElement | ✕ This element is not supported 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 | ✕ This element is not supported | |||||
| 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 | ✕ This element is not supported | |||||
| 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 | ✕ This element is not supported | |||||
| 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. Required Pattern: replaces | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(CH Core Composition EPR) | |||||||
| event | Σ | 0..* | BackboneElement | ✕ This element is not supported | ||||
| 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 | 2..* | 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 | |||||
| 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 EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| 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. Required Pattern: snapshot | |||||
| orderedBy | 0..1 | CodeableConcept | ✕ This element is not supported 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 | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | C | 0..* | See section (Composition) | Nested Section | ||||
| section:originalRepresentation | SC | 1..1 | BackboneElement | Original representation | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported | |||||
| title | 1..1 | string | 'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' 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: 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| 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 | SC | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document. | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| 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 | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:card | SC | 1..1 | BackboneElement | Medication card | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| title | 1..1 | string | 'Medikamentenliste' in german or 'Liste de médicaments' in french or 'Lista farmaci' in italian or 'Medication List' 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: 10160-0 | |||||
| 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 | |||||
| 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 | Description of the parameters used to generate this medication card. | ||||
| 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 | 0..* | Reference(CH EMED MedicationStatement (CARD)) | 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 | SC | 0..1 | BackboneElement | Annotation comment concerning this document | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| text | SC | 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 | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:vitalSigns | C | 0..1 | BackboneElement | IPS Vital Signs Section | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| 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: 8716-3 | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | 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 | 1..1 | Reference(Body Weight Observation) | 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Composition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.identifier.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Composition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: SNOMED CT code 736378000http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.confidentiality | required | Pattern: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.confidentialityCode | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.attester.party.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.attester:legalAuthenticator.mode | required | Fixed Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.attester:legalAuthenticator.party.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.custodian.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.relatesTo.code | required | Pattern: replaceshttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | Pattern: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:originalRepresentation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.section:originalRepresentation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:card.code | example | Pattern: LOINC code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:card.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:card.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:card.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.section:card.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:annotation.code | example | Pattern: LOINC code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:annotation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:annotation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:annotation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.code | example | Pattern: LOINC code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:vitalSigns.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-emed-comp-card | error | Composition.type | If a LOINC code is additionally provided, '56445-0' shall be used for this document type. : coding.exists(system = 'http://loinc.org') implies (coding.exists(system = 'http://loinc.org' and code = '56445-0')) | |
| cmp-1 | error | Composition.section, Composition.section:originalRepresentation, Composition.section:card, Composition.section:annotation, Composition.section:vitalSigns | 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:card, Composition.section:annotation, Composition.section:vitalSigns | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| datetime-only-instant-invariant | error | Composition.date | The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$') | |
| 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() | |
| urn-uuid-invariant | error | Composition.identifier.value | The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$') |
This structure is derived from CHEMEDCompositionMedicationCard
Summary
Mandatory: 0 element (3 nested mandatory elements)
Prohibited: 8 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from CHEMEDCompositionMedicationCard
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | CHEMEDCompositionMedicationCard | CH EMED Medication Card Composition | |
| meta | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| versionId | D | 0..1 | id | ✕ This element is not supported |
| lastUpdated | D | 0..1 | instant | ✕ This element is not supported |
| source | D | 0..1 | uri | ✕ This element is not supported |
| security | D | 0..* | Coding | ✕ This element is not supported |
| tag | D | 0..* | Coding | ✕ This element is not supported |
| implicitRules | 0..0 | |||
| modifierExtension | 0..0 | |||
| identifier | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| use | 0..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: official | |
| type | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| value | C | 1..1 | string | The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') |
| period | D | 0..1 | Period | ✕ This element is not supported |
| assigner | D | 0..1 | Reference(CH EMED EPR Organization) | ✕ This element is not supported |
| type | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| encounter | D | 0..1 | Reference(CH Core Encounter) | ✕ This element is not supported |
| date | C | 1..1 | dateTime | The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') |
| author | 1..1 | Reference(CH EMED EPR Device) | The author of the document (person or device) | |
| confidentiality | 1..1 | code | The confidentiality is fixed to the 'normal' level Required Pattern: N | |
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | 1..1 | Extension | Extension | |
| extension:confidentialityCode | 1..1 | EPRConfidentialityCode | Extension | |
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension | |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| 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: 17621005 | |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| attester | D | 0..* | BackboneElement | ✕ This element is not supported |
| attester:legalAuthenticator | D | 0..1 | BackboneElement | ✕ This element is not supported |
| custodian | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| relatesTo | D | 0..* | BackboneElement | ✕ This element is not supported |
| code | 1..1 | code | replaces | transforms | signs | appends Required Pattern: replaces | |
| event | D | 0..* | BackboneElement | ✕ This element is not supported |
| section | 2..* | BackboneElement | Composition is broken into sections | |
| modifierExtension | 0..0 | |||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| focus | D | 0..1 | Reference(Resource) | ✕ This element is not supported |
| mode | 0..1 | code | working | snapshot | changes Required Pattern: snapshot | |
| orderedBy | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| entry | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| section:originalRepresentation | 1..1 | BackboneElement | Original representation | |
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| modifierExtension | 0..0 | |||
| code | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| focus | D | 0..1 | Reference(Resource) | ✕ This element is not supported |
| entry | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document. | |
| id | D | 0..1 | string | ✕ This element is not supported |
| emptyReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| section | D | 0..0 | ||
| section:card | 1..1 | BackboneElement | Medication card | |
| modifierExtension | 0..0 | |||
| author | 0..0 | |||
| text | 0..1 | Narrative | Description of the parameters used to generate this medication card. | |
| section:annotation | 0..1 | BackboneElement | Annotation comment concerning this document | |
| id | D | 0..1 | string | ✕ This element is not supported |
| modifierExtension | 0..0 | |||
| code | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| coding | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| version | D | 0..1 | string | ✕ This element is not supported |
| userSelected | D | 0..1 | boolean | ✕ This element is not supported |
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| focus | D | 0..1 | Reference(Resource) | ✕ This element is not supported |
| emptyReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| section | D | 0..0 | ||
| section:vitalSigns | 0..1 | BackboneElement | IPS Vital Signs Section | |
| modifierExtension | 0..0 | |||
| 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: 8716-3 | |
| coding | 1..* | Coding | Code defined by a terminology system | |
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |
| entry | 1..1 | Reference(Body Weight Observation) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| datetime-only-instant-invariant | error | Composition.date | The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$') | |
| urn-uuid-invariant | error | Composition.identifier.value | The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$') |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | CHEMEDCompositionMedicationCard | CH EMED Medication Card Composition | |||||
| language | 1..1 | code | Language of the document Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| identifier | Σ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| extension | 0..* | Extension | ✕ This element is not supported 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 . Required Pattern: official | ||||
| type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported 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 | ΣC | 1..1 | string | The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | ✕ This element is not supported | ||||
| assigner | Σ | 0..1 | Reference(CH EMED EPR Organization) | ✕ This element is not supported | ||||
| 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 management plan (record artifact) Binding: DocumentEntry.typeCode (extensible) 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: 736378000 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| subject | SΣ | 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 | ||||
| encounter | Σ | 0..1 | Reference(CH Core Encounter) | ✕ This element is not supported | ||||
| date | SΣC | 1..1 | dateTime | The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') | ||||
| author | SΣ | 1..1 | Reference(CH EMED EPR Device) | The author of the document (person or device) | ||||
| 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 | 'Medikationsplan' in german or 'Plan de médication' in french or 'Piano farmacologico' in italian or 'Medication Card' in english or titles in other languages are also allowed | ||||
| confidentiality | Σ | 1..1 | code | The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Required Pattern: N | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| Slices for extension | 1..1 | Extension | Extension Slice: Unordered, Open by value:url | |||||
| confidentialityCode | 1..1 | CodeableConcept | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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: 17621005 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| Slices for attester | 0..* | BackboneElement | ✕ This element is not supported 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 | ✕ This element is not supported | |||||
| 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 | |||||
| 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 | ||||
| relatesTo | 0..* | BackboneElement | ✕ This element is not supported | |||||
| 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. Required Pattern: replaces | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(CH Core Composition EPR) | |||||||
| event | Σ | 0..* | BackboneElement | ✕ This element is not supported | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| Slices for section | C | 2..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | ||||
| section:All Slices | Content/Rules for all slices | |||||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: snapshot | |||||
| orderedBy | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| section:originalRepresentation | SC | 1..1 | BackboneElement | Original representation | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported | |||||
| title | 1..1 | string | 'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' 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: 55108-5 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| text | C | 1..1 | Narrative | Representation of the original view | ||||
| 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. The PDF shall be contained locally in the document. | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| narrativeLink | 0..1 | url | narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink | |||||
| emptyReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:card | SC | 1..1 | BackboneElement | Medication card | ||||
| title | 1..1 | string | 'Medikamentenliste' in german or 'Liste de médicaments' in french or 'Lista farmaci' in italian or 'Medication List' 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: 10160-0 | |||||
| text | C | 0..1 | Narrative | Description of the parameters used to generate this medication card. | ||||
| entry | SC | 0..* | Reference(CH EMED MedicationStatement (CARD)) | Medication statement | ||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| section:annotation | SC | 0..1 | BackboneElement | Annotation comment concerning this document | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| 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 | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| text | SC | 1..1 | Narrative | Human readable text of this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:vitalSigns | C | 0..1 | BackboneElement | IPS Vital Signs Section | ||||
| 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: 8716-3 | |||||
| coding | Σ | 1..* | Coding | Code defined by a terminology system | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| entry | C | 1..1 | Reference(Body Weight Observation) | A reference to data that supports this section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.identifier.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Composition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: SNOMED CT code 736378000http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode | ||||
| Composition.confidentiality | required | Pattern: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.confidentialityCode | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.attester:legalAuthenticator.mode | required | Fixed Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | Pattern: replaceshttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.section.mode | required | Pattern: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:card.code | example | Pattern: LOINC code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:annotation.code | example | Pattern: LOINC code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:annotation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.code | example | Pattern: LOINC code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-emed-comp-card | error | Composition.type | If a LOINC code is additionally provided, '56445-0' shall be used for this document type. : coding.exists(system = 'http://loinc.org') implies (coding.exists(system = 'http://loinc.org' and code = '56445-0')) | |
| cmp-1 | error | Composition.section, Composition.section:originalRepresentation, Composition.section:card, Composition.section:annotation, Composition.section:vitalSigns | 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:card, Composition.section:annotation, Composition.section:vitalSigns | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| datetime-only-instant-invariant | error | Composition.date | The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$') | |
| 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() | |
| urn-uuid-invariant | error | Composition.identifier.value | The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$') |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | CHEMEDCompositionMedicationCard | CH EMED Medication Card Composition | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated | Σ | 0..1 | instant | ✕ This element is not supported | ||||
| source | Σ | 0..1 | uri | ✕ This element is not supported | ||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| language | 1..1 | code | Language of the document Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| identifier | Σ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported 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 . Required Pattern: official | ||||
| type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported 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 | ΣC | 1..1 | string | The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | ✕ This element is not supported | ||||
| assigner | Σ | 0..1 | Reference(CH EMED EPR Organization) | ✕ This element is not supported | ||||
| 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 management plan (record artifact) Binding: DocumentEntry.typeCode (extensible) 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: 736378000 | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 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 | SΣ | 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) | ✕ This element is not supported | ||||
| date | SΣC | 1..1 | dateTime | The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') | ||||
| author | SΣ | 1..1 | Reference(CH EMED EPR Device) | The author of the document (person or device) | ||||
| 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 | 'Medikationsplan' in german or 'Plan de médication' in french or 'Piano farmacologico' in italian or 'Medication Card' in english or titles in other languages are also allowed | ||||
| confidentiality | Σ | 1..1 | code | The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Required Pattern: N | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| Slices for extension | 1..1 | Extension | Extension Slice: Unordered, Open by value:url | |||||
| confidentialityCode | 1..1 | CodeableConcept | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: DocumentEntry.confidentialityCode (extensible) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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: 17621005 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| value | 0..1 | string | Primitive value for code | |||||
| Slices for attester | 0..* | BackboneElement | ✕ This element is not supported 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 | ✕ This element is not supported | |||||
| 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 | ✕ This element is not supported | |||||
| 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 | ✕ This element is not supported | |||||
| 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. Required Pattern: replaces | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(CH Core Composition EPR) | |||||||
| event | Σ | 0..* | BackboneElement | ✕ This element is not supported | ||||
| 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 | 2..* | 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 | |||||
| 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 EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| 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. Required Pattern: snapshot | |||||
| orderedBy | 0..1 | CodeableConcept | ✕ This element is not supported 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 | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | C | 0..* | See section (Composition) | Nested Section | ||||
| section:originalRepresentation | SC | 1..1 | BackboneElement | Original representation | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported | |||||
| title | 1..1 | string | 'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' 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: 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| 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 | SC | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document. | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| 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 | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:card | SC | 1..1 | BackboneElement | Medication card | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| title | 1..1 | string | 'Medikamentenliste' in german or 'Liste de médicaments' in french or 'Lista farmaci' in italian or 'Medication List' 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: 10160-0 | |||||
| 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 | |||||
| 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 | Description of the parameters used to generate this medication card. | ||||
| 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 | 0..* | Reference(CH EMED MedicationStatement (CARD)) | 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 | SC | 0..1 | BackboneElement | Annotation comment concerning this document | ||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | ✕ This element is not supported | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | ✕ This element is not supported | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | ✕ This element is not supported | |||||
| text | SC | 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 | ✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:vitalSigns | C | 0..1 | BackboneElement | IPS Vital Signs Section | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| 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: 8716-3 | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| author | 0..* | Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) | 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 | 1..1 | Reference(Body Weight Observation) | 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Composition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.identifier.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Composition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: SNOMED CT code 736378000http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.confidentiality | required | Pattern: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.confidentialityCode | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.attester.party.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.attester:legalAuthenticator.mode | required | Fixed Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.attester:legalAuthenticator.party.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.custodian.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.relatesTo.code | required | Pattern: replaceshttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | Pattern: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:originalRepresentation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:originalRepresentation.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.section:originalRepresentation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:card.code | example | Pattern: LOINC code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:card.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:card.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:card.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Composition.section:card.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:annotation.code | example | Pattern: LOINC code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:annotation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:annotation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:annotation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.code | example | Pattern: LOINC code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:vitalSigns.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:vitalSigns.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-emed-comp-card | error | Composition.type | If a LOINC code is additionally provided, '56445-0' shall be used for this document type. : coding.exists(system = 'http://loinc.org') implies (coding.exists(system = 'http://loinc.org' and code = '56445-0')) | |
| cmp-1 | error | Composition.section, Composition.section:originalRepresentation, Composition.section:card, Composition.section:annotation, Composition.section:vitalSigns | 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:card, Composition.section:annotation, Composition.section:vitalSigns | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| datetime-only-instant-invariant | error | Composition.date | The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$') | |
| 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() | |
| urn-uuid-invariant | error | Composition.identifier.value | The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$') |
This structure is derived from CHEMEDCompositionMedicationCard
Summary
Mandatory: 0 element (3 nested mandatory elements)
Prohibited: 8 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron