CH eTOC (R4)
2.0.1 - trial-use Switzerland flag

This page is part of the CH eTOC (R4) (v2.0.1: STU 2) 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 eTOC Composition

Official URL: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition Version: 2.0.1
Active as of 2023-12-28 Computable Name: ChEtocComposition

Copyright/Legal: CC0-1.0

Definition for the Composition resource in the context of electronic transition of care.

Usage:

Formal Views of Profile Content

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

This structure is derived from ChOrfComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*ChOrfCompositionCH eTOC Composition
... type 1..1CodeableConceptPrecise type of clinical 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://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 371535009
... category 1..1CodeableConceptHigh-level kind of a clinical document at a macro level
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: 721927009
... title 1..1stringMeaningful title
Required Pattern: Zuweisungsschreiben
.... entry 3..*Reference(Resource)A reference to data that supports this section
.... entry:Questionnaire 1..1Reference(CH ORF Questionnaire)Questionnaire
.... entry:QuestionnaireResponse 1..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
.... entry:ServiceRequest 1..*Reference(CH eTOC Service Request)ServiceRequest
... section:sectionPurpose S0..1BackboneElementContains information about the purpose/reason
.... title S1..1stringPurpose
.... code S1..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: 42349-1
...... display1..1stringRepresentation defined by the system
Fixed Value: Reason for referral (narrative)
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..1Reference(CH eTOC Service Request)A reference to data that supports this section
.... section 0..0
... section:sectionProblems S0..1BackboneElementContains the problem list
.... title S1..1stringProblems
.... code S1..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: 57852-6
...... display1..1stringRepresentation defined by the system
Fixed Value: Problem list Narrative - Reported
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition)A reference to data that supports this section
... section:sectionMedications S0..1BackboneElementContains information about the medication
.... title S1..1stringMedication
.... code S1..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: 42346-7
...... display1..1stringRepresentation defined by the system
Fixed Value: Medications on admission (narrative)
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH EMED MedicationStatement)A reference to data that supports this section
.... section 0..0
... section:sectionImmunizations S0..1BackboneElementContains information about immunizations
.... title S1..1stringImmunizations
.... code S1..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: 11369-6
...... display1..1stringRepresentation defined by the system
Fixed Value: History of Immunization Narrative
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC immunizationstatus)A reference to data that supports this section
.... section 0..0
... section:sectionAllergies S0..1BackboneElementContains information about allergies and intolerances
.... title S1..1stringAllergies and intolerances
.... code S1..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: 48765-2
...... display1..1stringRepresentation defined by the system
Fixed Value: Allergies and adverse reactions Document
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Allergy Intolerance)A reference to data that supports this section
... section:sectionPastIllnessHx S0..1BackboneElementComposition is broken into sections
.... title S1..1stringHistory of past illness
.... code S1..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: 11348-0
...... display1..1stringRepresentation defined by the system
Fixed Value: History of past illness Narrative
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Past History of Illnesses Condition)A reference to data that supports this section
.... section 0..0
... section:sectionFunctionalStatus S0..1BackboneElementComposition is broken into sections
.... title S1..1stringFunctional Status
.... code S1..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: 47420-5
...... display1..1stringRepresentation defined by the system
Fixed Value: Functional status assessment note
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Functional Status Condition)A reference to data that supports this section
.... section 0..0
... section:sectionProceduresHx S0..1BackboneElementComposition is broken into sections
.... title S1..1stringHistory of Procedures
.... code S1..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: 47519-4
...... display1..1stringRepresentation defined by the system
Fixed Value: History of Procedures Document
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Procedure)A reference to data that supports this section
.... section 0..0
... section:sectionSocialHistory S0..1BackboneElementComposition is broken into sections
.... title S1..1stringSocial history
.... code S1..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: 29762-2
...... display1..1stringRepresentation defined by the system
Fixed Value: Social history Narrative
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..1Reference(CH eTOC Social History Condition)A reference to data that supports this section
.... section 0..0
... section:sectionMedicalDevices S0..1BackboneElementContains information about medical devices
.... title S1..1stringMedical devices
.... code S1..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: 46264-8
...... display1..1stringRepresentation defined by the system
Fixed Value: History of medical device use
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Device)A reference to data that supports this section
... section:sectionResults S0..1BackboneElementContains informaion about diagnostic results
.... title S1..1stringDiagnostic results
.... code S1..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: 30954-2
...... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data Narrative
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation)A reference to data that supports this section
.... section 0..0
... section:sectionPregnancyHx S0..1BackboneElementContains informaion about pregnancy
.... title S1..1stringPregnancy
.... code S1..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: 10162-6
...... display1..1stringRepresentation defined by the system
Fixed Value: History of pregnancies Narrative
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..1Reference(CH eTOC Pregnancy Status Observation)A reference to data that supports this section
.... section 0..0
... section:sectionAttachment S0..1BackboneElementContains attachment (whatever is considered as important)
.... title S1..1stringAttachments
.... code S1..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: 55107-7
...... display1..1stringRepresentation defined by the system
Fixed Value: Addendum Document
.... text S0..1NarrativeText summary of the section, for human interpretation
.... entry S0..*Reference(CH ORF DocumentReference)A reference to data that supports this section
.... section 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*ChOrfCompositionCH eTOC Composition
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text S1..1NarrativeNarrative text of the composition
... dataEnterer S0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForTheResponseToThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters about the response
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
... receiver S0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver S0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument S0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare S0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator S0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent S0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
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: 371535009
... category SΣ1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)

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: 721927009
... subject SΣ1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... date Σ1..1dateTimeComposition editing time
... author SΣ1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... title SΣ1..1stringMeaningful title
Required Pattern: Zuweisungsschreiben
... Slices for section SC1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... section:orderReferral SC1..1BackboneElementContains the data that supports the order and referral by form.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringOrder-Referral
..... code S1..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: 93037-0
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry SC3..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC1..1Reference(CH ORF Questionnaire)Questionnaire
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse SC1..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:ServiceRequest SC1..*Reference(CH eTOC Service Request)ServiceRequest
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:DocumentReference SC0..*Reference(CH ORF DocumentReference)DocumentReference
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:originalRepresentation SC0..1BackboneElementContains the original representation as a PDF of the current document.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringOriginal representation
..... code S1..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
....... display1..1stringRepresentation defined by the system
Fixed Value: Clinical presentation Document
..... text SC1..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.
.... section:sectionPurpose SC0..1BackboneElementContains information about the purpose/reason
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringPurpose
..... code S1..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: 42349-1
....... display1..1stringRepresentation defined by the system
Fixed Value: Reason for referral (narrative)
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..1Reference(CH eTOC Service Request)A reference to data that supports this section
.... section:sectionProblems SC0..1BackboneElementContains the problem list
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringProblems
..... code S1..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: 57852-6
....... display1..1stringRepresentation defined by the system
Fixed Value: Problem list Narrative - Reported
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition)A reference to data that supports this section
.... section:sectionMedications SC0..1BackboneElementContains information about the medication
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringMedication
..... code S1..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: 42346-7
....... display1..1stringRepresentation defined by the system
Fixed Value: Medications on admission (narrative)
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH EMED MedicationStatement)A reference to data that supports this section
.... section:sectionImmunizations SC0..1BackboneElementContains information about immunizations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringImmunizations
..... code S1..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: 11369-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Immunization Narrative
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC immunizationstatus)A reference to data that supports this section
.... section:sectionAllergies SC0..1BackboneElementContains information about allergies and intolerances
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringAllergies and intolerances
..... code S1..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: 48765-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Allergy Intolerance)A reference to data that supports this section
.... section:sectionPastIllnessHx SC0..1BackboneElementComposition is broken into sections
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringHistory of past illness
..... code S1..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: 11348-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of past illness Narrative
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Past History of Illnesses Condition)A reference to data that supports this section
.... section:sectionFunctionalStatus SC0..1BackboneElementComposition is broken into sections
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringFunctional Status
..... code S1..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: 47420-5
....... display1..1stringRepresentation defined by the system
Fixed Value: Functional status assessment note
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Functional Status Condition)A reference to data that supports this section
.... section:sectionProceduresHx SC0..1BackboneElementComposition is broken into sections
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringHistory of Procedures
..... code S1..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: 47519-4
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Procedures Document
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Procedure)A reference to data that supports this section
.... section:sectionSocialHistory SC0..1BackboneElementComposition is broken into sections
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringSocial history
..... code S1..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: 29762-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Social history Narrative
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..1Reference(CH eTOC Social History Condition)A reference to data that supports this section
.... section:sectionMedicalDevices SC0..1BackboneElementContains information about medical devices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringMedical devices
..... code S1..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: 46264-8
....... display1..1stringRepresentation defined by the system
Fixed Value: History of medical device use
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Device)A reference to data that supports this section
.... section:sectionResults SC0..1BackboneElementContains informaion about diagnostic results
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringDiagnostic results
..... code S1..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: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data Narrative
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation)A reference to data that supports this section
.... section:sectionPregnancyHx SC0..1BackboneElementContains informaion about pregnancy
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringPregnancy
..... code S1..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: 10162-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of pregnancies Narrative
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..1Reference(CH eTOC Pregnancy Status Observation)A reference to data that supports this section
.... section:sectionAttachment SC0..1BackboneElementContains attachment (whatever is considered as important)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringAttachments
..... code S1..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: 55107-7
....... display1..1stringRepresentation defined by the system
Fixed Value: Addendum Document
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... entry SC0..*Reference(CH ORF DocumentReference)A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.statusrequiredCompositionStatus
Composition.typepreferredPattern: SNOMED CT code 371535009
Composition.categorypreferredPattern: SNOMED CT code 721927009
Composition.section:orderReferral.codeexamplePattern: LOINC code 93037-0
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5("Clinical presentation Document")
Composition.section:sectionPurpose.codeexamplePattern: LOINC code 42349-1("Reason for referral (narrative)")
Composition.section:sectionProblems.codeexamplePattern: LOINC code 57852-6("Problem list Narrative - Reported")
Composition.section:sectionMedications.codeexamplePattern: LOINC code 42346-7("Medications on admission (narrative)")
Composition.section:sectionImmunizations.codeexamplePattern: LOINC code 11369-6("History of Immunization Narrative")
Composition.section:sectionAllergies.codeexamplePattern: LOINC code 48765-2("Allergies and adverse reactions Document")
Composition.section:sectionPastIllnessHx.codeexamplePattern: LOINC code 11348-0("History of past illness Narrative")
Composition.section:sectionFunctionalStatus.codeexamplePattern: LOINC code 47420-5("Functional status assessment note")
Composition.section:sectionProceduresHx.codeexamplePattern: LOINC code 47519-4("History of Procedures Document")
Composition.section:sectionSocialHistory.codeexamplePattern: LOINC code 29762-2("Social history Narrative")
Composition.section:sectionMedicalDevices.codeexamplePattern: LOINC code 46264-8("History of medical device use")
Composition.section:sectionResults.codeexamplePattern: LOINC code 30954-2("Relevant diagnostic tests/laboratory data Narrative")
Composition.section:sectionPregnancyHx.codeexamplePattern: LOINC code 10162-6("History of pregnancies Narrative")
Composition.section:sectionAttachment.codeexamplePattern: LOINC code 55107-7("Addendum Document")

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachmentA 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:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachmentA 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..*ChOrfCompositionCH eTOC Composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text S1..1NarrativeNarrative text of the composition
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer S0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
... urgentNoficationContactForTheResponseToThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters about the response
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
... receiver S0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver S0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument S0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare S0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator S0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent S0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
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: 371535009
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category SΣ1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)

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: 721927009
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
.... 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)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author SΣ1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
.... 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
... title SΣ1..1stringMeaningful title
Required Pattern: Zuweisungsschreiben
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... 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
... custodian Σ0..1Reference(CH Core Organization)Organization which maintains 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
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... 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.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... 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 SC1..*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
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... 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 Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... 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.

..... 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..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:orderReferral SC1..1BackboneElementContains the data that supports the order and referral by form.
..... 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
..... title S1..1stringOrder-Referral
..... code S1..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: 93037-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... 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.

..... Slices for entry SC3..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC1..1Reference(CH ORF Questionnaire)Questionnaire
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..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
...... entry:QuestionnaireResponse SC1..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..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
...... entry:ServiceRequest SC1..*Reference(CH eTOC Service Request)ServiceRequest
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..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
...... entry:DocumentReference SC0..*Reference(CH ORF DocumentReference)DocumentReference
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL