CH EMED (R4)
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH EMED (R4) (v5.0.0-ballot: STU 5 Ballot 1) 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: CH EMED Medication Card Composition

Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationcard Version: 5.0.0-ballot
Active as of 2024-05-16 Computable Name: CHEMEDCompositionMedicationCard

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 CHCoreCompositionEPR

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH EMED Medication Card Composition
... language 1..1 code Language of the document
... identifier
.... value 1..1 string The value that is unique
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status 1..1 code preliminary | final | amended | entered-in-error
Fixed Value: final
.... 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
... subject S 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
... date S 1..1 dateTime The document's creation date and time
... author S 1..* Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) The author of the document (person or device)
... title 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
.... Slices for extension Content/Rules for all slices
..... extension:confidentialityCode 1..1 EPRConfidentialityCode Swiss realm of confidentiality code according to the Swiss EPR regulation
... attester 0..* BackboneElement The authenticator of the document (person)
... Slices for attester Content/Rules for all slices
.... attester:legalAuthenticator 0..1 BackboneElement The legal authenticator of the document (person)
..... time 0..1 dateTime Timestamp of the signature
... section 2..* BackboneElement Composition is broken into sections
... Slices for section Content/Rules for all slices
.... section:originalRepresentation S 1..1 BackboneElement Original representation
..... 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
..... entry S 1..1 Reference(Binary) PDF
.... section:card S 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)
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 0..1 Narrative Human readable text of this section
..... entry S 0..* Reference(CH EMED MedicationStatement (CARD)) Medication statement
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:annotation S 0..1 BackboneElement Annotation
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
..... text S 1..1 Narrative Human readable text of this section
..... section 0..0

doco Documentation for this format

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'))
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH EMED Medication Card Composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 1..1 code Language of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... 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
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string The value that is unique
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC 1..1 CodeableConcept Medication management plan (record artifact)
Binding: DocumentEntry.typeCode (extensible)
ch-emed-comp-card: If a LOINC code is additionally provided, '56445-0' shall be used for this document type.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
... 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
... date SΣ 1..1 dateTime The document's creation date and time
... author SΣ 1..* Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) The author of the document (person or device)
.... Slices for extension Content/Rules for all slices
..... time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... 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 As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... confidentialityCode 1..1 CodeableConcept Swiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..* BackboneElement The authenticator of the document (person)
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1 BackboneElement The legal authenticator of the document (person)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1 dateTime Timestamp of the signature
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for section C 2..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:originalRepresentation SC 1..1 BackboneElement Original representation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
..... text C 1..1 Narrative Representation of the original view
..... entry SC 1..1 Reference(Binary) PDF
...... Slices for extension Content/Rules for all slices
....... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
.... section:card SC 1..1 BackboneElement Medication card
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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 Human readable text of this section
..... 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
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
..... text SC 1..1 Narrative Human readable text of 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.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
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-term/ValueSet/DocumentEntry.typeCode
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
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.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
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

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:annotationA 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:annotationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH EMED Medication Card Composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... informationRecipient 0..* Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
.... dataEnterer 0..1 (Complex) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string The value that is unique
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC 1..1 CodeableConcept Medication management plan (record artifact)
Binding: DocumentEntry.typeCode (extensible)
ch-emed-comp-card: If a LOINC code is additionally provided, '56445-0' shall be used for this document type.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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
... 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) Context of the Composition
... date SΣ 1..1 dateTime The document's creation date and time
... author SΣ 1..* Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) 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 As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... confidentialityCode 1..1 CodeableConcept Swiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
.... value 0..1 string Primitive value for code
... Slices for attester 0..* BackboneElement The authenticator of the document (person)
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who attested the composition
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
.... attester:legalAuthenticator 0..1 BackboneElement The legal authenticator of the document (person)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1 dateTime Timestamp of the signature
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
... custodian Σ 0..1 Reference(CH Core Organization EPR) Organization which maintains the composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(CH Core Composition EPR)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 2..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

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

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

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:originalRepresentation SC 1..1 BackboneElement Original representation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 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
..... author 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 1..1 Narrative Representation of the original view
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry SC 1..1 Reference(Binary) PDF
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:card SC 1..1 BackboneElement Medication card
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 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
..... author 0..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative 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 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
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text 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 Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


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.userequiredIdentifierUse
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-term/ValueSet/DocumentEntry.typeCode
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.author.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester.party.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
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.attester:legalAuthenticator.party.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.custodian.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
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.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:originalRepresentation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:originalRepresentation.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
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:card.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:card.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:card.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:card.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:annotation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:annotation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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:annotationA 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:annotationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHCoreCompositionEPR

Differential View

This structure is derived from CHCoreCompositionEPR

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH EMED Medication Card Composition
... language 1..1 code Language of the document
... identifier
.... value 1..1 string The value that is unique
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status 1..1 code preliminary | final | amended | entered-in-error
Fixed Value: final
.... 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
... subject S 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
... date S 1..1 dateTime The document's creation date and time
... author S 1..* Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) The author of the document (person or device)
... title 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
.... Slices for extension Content/Rules for all slices
..... extension:confidentialityCode 1..1 EPRConfidentialityCode Swiss realm of confidentiality code according to the Swiss EPR regulation
... attester 0..* BackboneElement The authenticator of the document (person)
... Slices for attester Content/Rules for all slices
.... attester:legalAuthenticator 0..1 BackboneElement The legal authenticator of the document (person)
..... time 0..1 dateTime Timestamp of the signature
... section 2..* BackboneElement Composition is broken into sections
... Slices for section Content/Rules for all slices
.... section:originalRepresentation S 1..1 BackboneElement Original representation
..... 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
..... entry S 1..1 Reference(Binary) PDF
.... section:card S 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)
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 0..1 Narrative Human readable text of this section
..... entry S 0..* Reference(CH EMED MedicationStatement (CARD)) Medication statement
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:annotation S 0..1 BackboneElement Annotation
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
..... text S 1..1 Narrative Human readable text of this section
..... section 0..0

doco Documentation for this format

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'))

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreCompositionEPR CH EMED Medication Card Composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 1..1 code Language of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... 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
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string The value that is unique
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC 1..1 CodeableConcept Medication management plan (record artifact)
Binding: DocumentEntry.typeCode (extensible)
ch-emed-comp-card: If a LOINC code is additionally provided, '56445-0' shall be used for this document type.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
... 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
... date SΣ 1..1 dateTime The document's creation date and time
... author SΣ 1..* Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) The author of the document (person or device)
.... Slices for extension Content/Rules for all slices
..... time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... 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 As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... confidentialityCode 1..1 CodeableConcept Swiss realm of confidentiality code according to the Swiss EPR regulation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
Binding: DocumentEntry.confidentialityCode (extensible)
... Slices for attester 0..* BackboneElement The authenticator of the document (person)
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1 BackboneElement The legal authenticator of the document (person)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1 dateTime Timestamp of the signature
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for section C 2..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:originalRepresentation SC 1..1 BackboneElement Original representation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
..... text C 1..1 Narrative Representation of the original view
..... entry SC 1..1 Reference(Binary) PDF
...... Slices for extension Content/Rules for all slices
....... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
.... section:card SC 1..1 BackboneElement Medication card
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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 Human readable text of this section
..... 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
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)