CH EMED EPR
1.0.0 - trial-use Switzerland flag

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. For a full list of available versions, see the Directory of published versions

Resource Profile: PMLC Composition

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:

Formal Views of Profile Content

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

This structure is derived from CHEMEDCompositionMedicationCard

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHEMEDCompositionMedicationCardCH EMED Medication Card Composition
... meta
.... extension D0..*Extension✕ This element is not supported
.... versionId D0..1id✕ This element is not supported
.... lastUpdated D0..1instant✕ This element is not supported
.... source D0..1uri✕ This element is not supported
.... security D0..*Coding✕ This element is not supported
.... tag D0..*Coding✕ This element is not supported
... implicitRules 0..0
... modifierExtension 0..0
.... extension D0..*Extension✕ This element is not supported
.... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: official
.... type D0..1CodeableConcept✕ This element is not supported
.... value C1..1stringThe 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 D0..1Period✕ This element is not supported
.... assigner D0..1Reference(CH EMED EPR Organization)✕ This element is not supported
... type
.... extension D0..*Extension✕ This element is not supported
.... coding
..... extension D0..*Extension✕ This element is not supported
..... version D0..1string✕ This element is not supported
..... userSelected D0..1boolean✕ This element is not supported
... encounter D0..1Reference(CH Core Encounter)✕ This element is not supported
... date C1..1dateTimeThe 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..1Reference(CH EMED EPR Device)The author of the document (person or device)
... confidentiality 1..1codeThe confidentiality is fixed to the 'normal' level
Required Pattern: N
.... id D0..1string✕ This element is not supported
.... extension 1..1ExtensionExtension
.... extension:confidentialityCode 1..1EPRConfidentialityCodeExtension
..... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
...... extension D0..*Extension✕ This element is not supported
...... coding 1..1CodingCode defined by a terminology system
Required Pattern: At least the following
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 17621005
....... extension D0..*Extension✕ This element is not supported
....... version D0..1string✕ This element is not supported
....... userSelected D0..1boolean✕ This element is not supported
... attester D0..*BackboneElement✕ This element is not supported
... attester:legalAuthenticator D0..1BackboneElement✕ This element is not supported
... custodian
.... id D0..1string✕ This element is not supported
... relatesTo D0..*BackboneElement✕ This element is not supported
.... code 1..1codereplaces | transforms | signs | appends
Required Pattern: replaces
... event D0..*BackboneElement✕ This element is not supported
... section 2..*BackboneElementComposition 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 D0..1Reference(Resource)✕ This element is not supported
.... mode 0..1codeworking | snapshot | changes
Required Pattern: snapshot
.... orderedBy D0..1CodeableConcept✕ This element is not supported
.... entry
..... id D0..1string✕ This element is not supported
... section:originalRepresentation 1..1BackboneElementOriginal representation
.... id D0..1string✕ This element is not supported
.... extension D0..*Extension✕ This element is not supported
.... modifierExtension 0..0
.... code
..... extension D0..*Extension✕ This element is not supported
..... coding
...... extension D0..*Extension✕ This element is not supported
...... version D0..1string✕ This element is not supported
...... userSelected D0..1boolean✕ 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 D0..1Reference(Resource)✕ This element is not supported
.... entry 1..1Reference(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 D0..1string✕ This element is not supported
.... emptyReason D0..1CodeableConcept✕ This element is not supported
.... section D0..0
... section:card 1..1BackboneElementMedication card
.... modifierExtension 0..0
.... author 0..0
.... text 0..1NarrativeDescription of the parameters used to generate this medication card.
... section:annotation 0..1BackboneElementAnnotation comment concerning this document
.... id D0..1string✕ This element is not supported
.... modifierExtension 0..0
.... code
..... extension D0..*Extension✕ This element is not supported
..... coding
...... extension D0..*Extension✕ This element is not supported
...... version D0..1string✕ This element is not supported
...... userSelected D0..1boolean✕ 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 D0..1Reference(Resource)✕ This element is not supported
.... emptyReason D0..1CodeableConcept✕ This element is not supported
.... section D0..0
... section:vitalSigns 0..1BackboneElementIPS Vital Signs Section
.... modifierExtension 0..0
.... code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 8716-3
..... coding 1..*CodingCode 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..1Reference(Body Weight Observation)A reference to data that supports this section

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
datetime-only-instant-invarianterrorComposition.dateThe 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-invarianterrorComposition.identifier.valueThe value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
: $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHEMEDCompositionMedicationCardCH EMED Medication Card Composition
... language 1..1codeLanguage of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1(Complex)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: official
.... type Σ0..1CodeableConcept✕ 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 Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value ΣC1..1stringThe 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 Σ0..1Period✕ This element is not supported
.... assigner Σ0..1Reference(CH EMED EPR Organization)✕ This element is not supported
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC1..1CodeableConceptMedication management plan (record artifact)
Binding: DocumentEntry.typeCode (extensible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 736378000
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
... subject SΣ1..1Reference(CH Core Patient EPR)A patient for whom this document instance was created
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... encounter Σ0..1Reference(CH Core Encounter)✕ This element is not supported
... date SΣC1..1dateTimeThe 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 SΣ1..1Reference(CH EMED EPR Device)The author of the document (person or device)
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... title Σ1..1string'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 Σ1..1codeThe 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..1string✕ This element is not supported
.... Slices for extension 1..1ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
..... extension 0..0
..... url 1..1uri"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
..... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: DocumentEntry.confidentialityCode (extensible)
....... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
....... coding Σ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
........ system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: 17621005
........ extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
........ version Σ0..1string✕ This element is not supported
........ code Σ1..1codeSymbol in syntax defined by the system
........ userSelected Σ0..1boolean✕ 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

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


Fixed Value: legal
..... party 1..1Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)Who attested the composition
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... relatesTo 0..*BackboneElement✕ This element is not supported
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.


Required Pattern: replaces
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition EPR)
... event Σ0..*BackboneElement✕ This element is not supported
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
... Slices for section C2..*BackboneElementComposition 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..1Reference(Resource)✕ This element is not supported
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.


Required Pattern: snapshot
..... orderedBy 0..1CodeableConcept✕ This element is not supported
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... section:originalRepresentation SC1..1BackboneElementOriginal representation
..... id 0..1string✕ This element is not supported
..... extension 0..*Extension✕ This element is not supported
..... title 1..1string'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..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
...... 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..1Reference(Resource)✕ This element is not supported
..... text C1..1NarrativeRepresentation of the original view
..... entry SC1..1Reference(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..1string✕ This element is not supported
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
..... emptyReason C0..1CodeableConcept✕ This element is not supported
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:card SC1..1BackboneElementMedication card
..... title 1..1string'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..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
..... text C0..1NarrativeDescription of the parameters used to generate this medication card.
..... entry SC0..*Reference(CH EMED MedicationStatement (CARD))Medication statement
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:annotation SC0..1BackboneElementAnnotation comment concerning this document
..... id 0..1string✕ This element is not supported
..... title 1..1string'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..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 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..1Reference(Resource)✕ This element is not supported
..... text SC1..1NarrativeHuman readable text of this section
..... emptyReason C0..1CodeableConcept✕ This element is not supported
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:vitalSigns C0..1BackboneElementIPS Vital Signs Section
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 8716-3
...... coding Σ1..*CodingCode 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 C1..1Reference(Body Weight Observation)A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.identifier.userequiredPattern: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensiblePattern: SNOMED CT code 736378000
http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode
Composition.confidentialityrequiredPattern: N
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConceptextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.confidentialityCode
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legalAuthenticator.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredPattern: replaces
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section.moderequiredPattern: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:originalRepresentation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:card.codeexamplePattern: LOINC code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:annotation.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:annotation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:vitalSigns.codeexamplePattern: LOINC code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-emed-comp-carderrorComposition.typeIf 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-1errorComposition.section, Composition.section:originalRepresentation, Composition.section:card, Composition.section:annotation, Composition.section:vitalSignsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentation, Composition.section:card, Composition.section:annotation, Composition.section:vitalSignsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
datetime-only-instant-invarianterrorComposition.dateThe 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-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
urn-uuid-invarianterrorComposition.identifier.valueThe value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
: $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHEMEDCompositionMedicationCardCH EMED Medication Card Composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ0..1id✕ This element is not supported
.... lastUpdated Σ0..1instant✕ This element is not supported
.... source Σ0..1uri✕ This element is not supported
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*Coding✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*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..1codeLanguage of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... informationRecipient 0..*Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1(Complex)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... identifier Σ1..1IdentifierVersion-independent identifier for the Composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: official
.... type Σ0..1CodeableConcept✕ 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 Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value ΣC1..1stringThe 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 Σ0..1Period✕ This element is not supported
.... assigner Σ0..1Reference(CH EMED EPR Organization)✕ This element is not supported
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC1..1CodeableConceptMedication management plan (record artifact)
Binding: DocumentEntry.typeCode (extensible)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 736378000
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1string✕ This element is not supported
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1boolean✕ This element is not supported
.... text Σ0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(CH Core Patient EPR)A patient for whom this document instance was created
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(CH Core Encounter)✕ This element is not supported
... date SΣC1..1dateTimeThe 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 SΣ1..1Reference(CH EMED EPR Device)The author of the document (person or device)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... title Σ1..1string'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 Σ1..1codeThe 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..1string✕ This element is not supported
.... Slices for extension 1..1ExtensionExtension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1CodeableConceptExtension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
..... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: DocumentEntry.confidentialityCode (extensible)
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
....... coding Σ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: 17621005
........ display0..1stringRepresentation defined by the system
........ userSelected0..1booleanIf this coding was chosen directly by the user
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
........ version Σ0..1string✕ This element is not supported
........ code Σ1..1codeSymbol in syntax defined by the system
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1boolean✕ This element is not supported
....... text Σ0..1stringPlain text representation of the concept
.... value 0..1stringPrimitive 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

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

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


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

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

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


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


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section C2..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(CH 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..1Reference(Resource)✕ This element is not supported
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.


Required Pattern: snapshot
..... orderedBy 0..1CodeableConcept✕ This element is not supported
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C0..*Reference(Resource)A reference to data that supports this section
...... id 0..1string✕ This element is not supported
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

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

..... section C0..*See section (Composition)Nested Section
.... section:originalRepresentation SC1..1BackboneElementOriginal representation
..... id 0..1string✕ This element is not supported
..... extension 0..*Extension✕ This element is not supported
..... title 1..1string'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..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1string✕ This element is not supported
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1boolean✕ This element is not supported
...... text Σ0..1stringPlain 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..1Reference(Resource)✕ This element is not supported
..... text C1..1NarrativeRepresentation of the original view
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry SC1..1Reference(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..1string✕ This element is not supported
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... narrativeLink 0..1urlnarrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

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

.... section:card SC1..1BackboneElementMedication card
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... title 1..1string'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..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeDescription of the parameters used to generate this medication card.
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry SC0..*Reference(CH EMED MedicationStatement (CARD))Medication statement
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

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

.... section:annotation SC0..1BackboneElementAnnotation comment concerning this document
..... id 0..1string✕ This element is not supported
..... extension 0..*ExtensionAdditional content defined by implementations
..... title 1..1string'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..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1string✕ This element is not supported
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1boolean✕ This element is not supported
...... text Σ0..1stringPlain 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..1Reference(Resource)✕ This element is not supported
..... text SC1..1NarrativeHuman readable text of this section
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConcept