{
"description": null,
"_filename": "StructureDefinition-VRDR-Death-Certificate.json",
"package_name": "hl7.fhir.us.vrdr",
"date": "2019-03-27T07:24:20+11:00",
"derivation": "constraint",
"publisher": "Hi3 Solutions",
"fhirVersion": "3.0.1",
"name": "VRDR Death Certificate",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)",
"identity": "cda"
}, {
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping",
"identity": "w5"
} ],
"abstract": false,
"type": "Composition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.1.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "Composition",
"min": 0,
"definition": "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.",
"short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]",
"identity": "rim"
}, {
"map": "ClinicalDocument",
"identity": "cda"
}, {
"map": "infrastructure.documents",
"identity": "w5"
} ],
"max": "*",
"id": "Composition",
"comment": "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
"base": {
"max": "*",
"min": 0,
"path": "Composition"
}
}, {
"path": "Composition.id",
"min": 0,
"definition": "MAY contain zero or one [0..1] id (CONF:4393-364).",
"short": "id",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "Composition.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "Composition.meta",
"min": 0,
"definition": "MAY contain zero or one [0..1] meta (CONF:4393-363).",
"short": "meta",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Composition.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "Composition.meta.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.meta.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Composition.meta.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.meta.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Composition.meta.versionId",
"min": 0,
"definition": "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.",
"short": "Version specific identifier",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "Composition.meta.versionId",
"comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
"base": {
"max": "1",
"min": 0,
"path": "Meta.versionId"
},
"isSummary": true
}, {
"path": "Composition.meta.lastUpdated",
"min": 0,
"definition": "When the resource last changed - e.g. when the version changed.",
"short": "When the resource version last changed",
"type": [ {
"code": "instant"
} ],
"max": "1",
"id": "Composition.meta.lastUpdated",
"comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.",
"base": {
"max": "1",
"min": 0,
"path": "Meta.lastUpdated"
},
"isSummary": true
}, {
"path": "Composition.meta.profile",
"min": 1,
"definition": "The meta, if present, SHALL contain exactly one [1..1] profile=\"http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate\"(CONF:4393-365).",
"short": "profile",
"type": [ {
"code": "uri"
} ],
"patternString": "http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate",
"max": "1",
"id": "Composition.meta.profile",
"comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.",
"base": {
"max": "*",
"min": 0,
"path": "Meta.profile"
},
"isSummary": true
}, {
"path": "Composition.meta.security",
"min": 0,
"definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
"short": "Security Labels applied to this resource",
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SecurityLabels"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "Security Labels from the Healthcare Privacy and Security Classification System.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/security-labels"
}
},
"max": "*",
"id": "Composition.meta.security",
"comment": "The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
"base": {
"max": "*",
"min": 0,
"path": "Meta.security"
},
"isSummary": true
}, {
"path": "Composition.meta.tag",
"min": 0,
"definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
"short": "Tags applied to this resource",
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Tags"
} ],
"description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/common-tags"
}
},
"max": "*",
"id": "Composition.meta.tag",
"comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
"base": {
"max": "*",
"min": 0,
"path": "Meta.tag"
},
"isSummary": true
}, {
"path": "Composition.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Composition.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "Composition.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "Composition.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
}
}, {
"path": "Composition.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Composition.text",
"condition": [ "dom-1" ],
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "Composition.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Composition.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"path": "Composition.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"path": "Composition.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"path": "Composition.identifier",
"min": 1,
"definition": "SHALL contain exactly one [1..1] identifier (CONF:4393-374).",
"short": "identifier",
"mapping": [ {
"map": "Document.id / Document.setId",
"identity": "rim"
}, {
"map": ".setId",
"identity": "cda"
}, {
"map": "id",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "Composition.identifier",
"comment": "See discussion in resource definition for how these relate.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.identifier"
},
"isSummary": true
}, {
"path": "Composition.status",
"requirements": "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
"min": 1,
"definition": "SHALL contain exactly one [1..1] status, which SHALL be selected from ValueSet CompositionStatus http://hl7.org/fhir/ValueSet/CompositionStatus DYNAMIC (CONF:4393-375).",
"isModifier": true,
"short": "status",
"mapping": [ {
"map": "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\"; final: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]); amended: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]=\"obsolete\"",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-status"
}
},
"max": "1",
"id": "Composition.status",
"comment": "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements. \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.status"
},
"isSummary": true
}, {
"path": "Composition.type",
"requirements": "Key metadata element describing the composition, used in searching/filtering.",
"min": 1,
"definition": "SHALL contain exactly one [1..1] type=\"64297-5\"(CONF:4393-377).",
"short": "type",
"mapping": [ {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"fixedCodeableConcept": {
"coding": [ {
"code": "64297-5"
} ]
},
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentType"
} ],
"description": "Type of a composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-typecodes"
}
},
"max": "1",
"id": "Composition.type",
"comment": "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.type"
},
"isSummary": true
}, {
"path": "Composition.class",
"requirements": "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
"min": 0,
"definition": "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
"short": "Categorization of Composition",
"mapping": [ {
"map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentClass"
} ],
"description": "High-level kind of a clinical document at a macro level.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-classcodes"
}
},
"max": "1",
"id": "Composition.class",
"comment": "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
"base": {
"max": "1",
"min": 0,
"path": "Composition.class"
},
"isSummary": true
}, {
"path": "Composition.subject",
"requirements": "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
"min": 1,
"definition": "SHALL contain exactly one [1..1] subject=\"VRDR Decedent\"(CONF:4393-376).",
"short": "subject",
"mapping": [ {
"map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]",
"identity": "rim"
}, {
"map": ".recordTarget",
"identity": "cda"
}, {
"map": "who.focus",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"patternString": "VRDR Decedent",
"max": "1",
"id": "Composition.subject",
"comment": "For clinical documents, this is usually the patient.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.subject"
},
"isSummary": true
}, {
"path": "Composition.encounter",
"requirements": "Provides context for the composition and supports searching.",
"min": 0,
"definition": "Describes the clinical encounter or type of care this documentation is associated with.",
"short": "Context of the Composition",
"mapping": [ {
"map": "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])",
"identity": "rim"
}, {
"map": ".componentOf.encompassingEncounter",
"identity": "cda"
}, {
"map": "context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
} ],
"max": "1",
"id": "Composition.encounter",
"base": {
"max": "1",
"min": 0,
"path": "Composition.encounter"
},
"isSummary": true
}, {
"path": "Composition.date",
"requirements": "dateTime is used for tracking, organizing versions and searching.",
"min": 1,
"definition": "SHALL contain exactly one [1..1] date (CONF:4393-370).",
"short": "date",
"mapping": [ {
"map": ".effectiveTime[type=\"TS\"]",
"identity": "rim"
}, {
"map": ".effectiveTime",
"identity": "cda"
}, {
"map": "when.done",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Composition.date",
"comment": "The Last Modified Date on the composition may be after the date of the document was attested without being changed.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.date"
},
"isSummary": true
}, {
"path": "Composition.author",
"requirements": "Identifies who is responsible for the content.",
"min": 1,
"definition": "Identifies who is responsible for the information in the composition, not necessarily who typed it in.",
"short": "Who and/or what authored the composition",
"mapping": [ {
"map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]",
"identity": "rim"
}, {
"map": ".author.assignedAuthor",
"identity": "cda"
}, {
"map": "who.author",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
} ],
"max": "*",
"id": "Composition.author",
"base": {
"max": "*",
"min": 1,
"path": "Composition.author"
},
"isSummary": true
}, {
"path": "Composition.title",
"min": 1,
"definition": "Official human-readable label for the composition.",
"short": "Human Readable name/title",
"mapping": [ {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Composition.title",
"comment": "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.title"
},
"isSummary": true
}, {
"path": "Composition.confidentiality",
"min": 0,
"definition": "The code specifying the level of confidentiality of the Composition.",
"isModifier": true,
"short": "As defined by affinity domain",
"mapping": [ {
"map": ".confidentialityCode",
"identity": "rim"
}, {
"map": ".confidentialityCode",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentConfidentiality"
} ],
"description": "Codes specifying the level of confidentiality of the composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification"
}
},
"max": "1",
"id": "Composition.confidentiality",
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).\n\nThis element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.confidentiality"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.attester",
"requirements": "Identifies responsibility for the accuracy of the composition content.",
"min": 1,
"definition": "SHALL contain exactly one [1..1] attester=\"\"legal\"\"(CONF:4393-366).",
"short": "attester",
"mapping": [ {
"map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]",
"identity": "rim"
}, {
"map": ".authenticator/.legalAuthenticator",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"fixedString": "\"legal\"",
"id": "Composition.attester",
"comment": "Only list each attester once.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.attester"
},
"isSummary": true
}, {
"path": "Composition.attester.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.attester.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Composition.attester.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.attester.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Composition.attester.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.attester.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Composition.attester.mode",
"requirements": "Indicates the level of authority of the attestation.",
"min": 1,
"definition": "This attester SHALL contain exactly one [1..1] mode=\"\"legal\"\"(CONF:4393-367).",
"short": "mode",
"mapping": [ {
"map": "unique(./modeCode)",
"identity": "rim"
}, {
"map": "implied by .authenticator/.legalAuthenticator",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionAttestationMode"
} ],
"description": "The way in which a person authenticated a composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
}
},
"max": "1",
"fixedString": "\"legal\"",
"id": "Composition.attester.mode",
"comment": "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
"base": {
"max": "*",
"min": 1,
"path": "Composition.attester.mode"
},
"isSummary": true
}, {
"path": "Composition.attester.time",
"requirements": "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).",
"min": 1,
"definition": "This attester SHALL contain exactly one [1..1] time (CONF:4393-369).",
"short": "time",
"mapping": [ {
"map": "./time[type=\"TS\" and isNormalDatatype()]",
"identity": "rim"
}, {
"map": ".authenticator.time",
"identity": "cda"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Composition.attester.time",
"base": {
"max": "1",
"min": 0,
"path": "Composition.attester.time"
},
"isSummary": true
}, {
"path": "Composition.attester.party",
"requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
"min": 1,
"definition": "This attester SHALL contain exactly one [1..1] party=\"VRDR Certifier\"(CONF:4393-368).",
"short": "party",
"mapping": [ {
"map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]",
"identity": "rim"
}, {
"map": ".authenticator.assignedEnttty",
"identity": "cda"
}, {
"map": "who.witness",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
} ],
"patternString": "VRDR Certifier",
"max": "1",
"id": "Composition.attester.party",
"base": {
"max": "1",
"min": 0,
"path": "Composition.attester.party"
},
"isSummary": true
}, {
"path": "Composition.custodian",
"requirements": "Identifies where to go to find the current version, where to report issues, etc.",
"min": 0,
"definition": "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
"short": "Organization which maintains the composition",
"mapping": [ {
"map": ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]",
"identity": "rim"
}, {
"map": ".custodian.assignedCustodian",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
} ],
"max": "1",
"id": "Composition.custodian",
"comment": "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.custodian"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.relatesTo",
"min": 0,
"definition": "Relationships that this composition has with other compositions or documents that already exist.",
"short": "Relationships to other compositions/documents",
"mapping": [ {
"map": ".outboundRelationship",
"identity": "rim"
}, {
"map": ".relatedDocument",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Composition.relatesTo",
"comment": "A document is a version specific composition.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.relatesTo"
},
"isSummary": true
}, {
"path": "Composition.relatesTo.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.relatesTo.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Composition.relatesTo.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.relatesTo.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Composition.relatesTo.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.relatesTo.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Composition.relatesTo.code",
"min": 1,
"definition": "The type of relationship that this composition has with anther composition or document.",
"short": "replaces | transforms | signs | appends",
"mapping": [ {
"map": ".outboundRelationship.typeCode",
"identity": "rim"
}, {
"map": ".relatedDocument.typeCode",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentRelationshipType"
} ],
"description": "The type of relationship between documents.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/document-relationship-type"
}
},
"max": "1",
"id": "Composition.relatesTo.code",
"comment": "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
"base": {
"max": "1",
"min": 1,
"path": "Composition.relatesTo.code"
},
"isSummary": true
}, {
"path": "Composition.relatesTo.target[x]",
"min": 1,
"definition": "The target composition/document of this relationship.",
"short": "Target of the relationship",
"mapping": [ {
"map": ".target[classCode=\"DOC\", moodCode=\"EVN\"].id",
"identity": "rim"
}, {
"map": ".relatedDocument.id",
"identity": "cda"
} ],
"type": [ {
"code": "Identifier"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Composition"
} ],
"max": "1",
"id": "Composition.relatesTo.target[x]",
"base": {
"max": "1",
"min": 1,
"path": "Composition.relatesTo.target[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "Composition.event",
"requirements": "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
"min": 1,
"definition": "SHALL contain exactly one [1..1] event=\"\"103693007\"\"(CONF:4393-371).",
"short": "event",
"mapping": [ {
"map": "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']",
"identity": "rim"
}, {
"map": ".documentationOf.serviceEvent",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"fixedString": "\"103693007\"",
"id": "Composition.event",
"comment": "The event needs to be consistent with the type element, though can provide further information if desired.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.event"
},
"isSummary": true
}, {
"path": "Composition.event.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.event.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Composition.event.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.event.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Composition.event.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.event.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Composition.event.code",
"min": 1,
"definition": "This event SHALL contain exactly one [1..1] code=\"\"103693007\"\"(CONF:4393-372).",
"short": "code",
"mapping": [ {
"map": ".code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"fixedCodeableConcept": {
"coding": [ {
"code": "\"103693007\""
} ]
},
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentEventType"
} ],
"description": "This list of codes represents the main clinical acts being documented.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ActCode"
}
},
"max": "1",
"id": "Composition.event.code",
"comment": "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.event.code"
},
"isSummary": true
}, {
"path": "Composition.event.period",
"min": 0,
"definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
"short": "The period covered by the documentation",
"mapping": [ {
"map": ".effectiveTime",
"identity": "rim"
}, {
"map": ".effectiveTime",
"identity": "cda"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Composition.event.period",
"base": {
"max": "1",
"min": 0,
"path": "Composition.event.period"
},
"isSummary": true
}, {
"path": "Composition.event.detail",
"min": 1,
"definition": "This event SHALL contain exactly one [1..1] detail=\"VRDR Death Certification\" (CONF:4393-373).",
"short": "detail",
"mapping": [ {
"map": ".outboundRelationship[typeCode=\"SUBJ\"].target",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"patternString": "VRDR Death Certification",
"max": "1",
"id": "Composition.event.detail",
"base": {
"max": "*",
"min": 0,
"path": "Composition.event.detail"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "cmp-1",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
"severity": "error",
"expression": "text.exists() or entry.exists() or section.exists()"
}, {
"key": "cmp-2",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))",
"severity": "error",
"expression": "emptyReason.empty() or entry.empty()"
} ],
"path": "Composition.section",
"min": 0,
"definition": "The root of the sections that make up the composition.",
"short": "Composition is broken into sections",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.structuredBody.component.section",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"max": "*",
"id": "Composition.section",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section"
}
}, {
"path": "Composition.section.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Composition.section.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Composition.section.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Composition.section.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Composition.section.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Composition.section.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Composition.section.title",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"min": 0,
"definition": "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.",
"short": "Label for section (e.g. for ToC)",
"mapping": [ {
"map": "./title",
"identity": "rim"
}, {
"map": ".title",
"identity": "cda"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "header", "label", "caption" ],
"max": "1",
"id": "Composition.section.title",
"comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.title"
}
}, {
"path": "Composition.section.code",
"requirements": "Provides computable standardized labels to topics within the document.",
"min": 0,
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"short": "Classification of section (recommended)",
"mapping": [ {
"map": "./code",
"identity": "rim"
}, {
"map": ".code",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"max": "1",
"id": "Composition.section.code",
"comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.code"
}
}, {
"path": "Composition.section.text",
"min": 0,
"definition": "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
"short": "Text summary of the section, for human interpretation",
"mapping": [ {
"map": ".text",
"identity": "rim"
}, {
"map": ".text",
"identity": "cda"
} ],
"type": [ {
"code": "Narrative"
} ],
"max": "1",
"id": "Composition.section.text",
"condition": [ "cmp-1" ],
"comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.text"
}
}, {
"path": "Composition.section.mode",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"isModifier": true,
"short": "working | snapshot | changes",
"mapping": [ {
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionMode"
} ],
"description": "The processing mode that applies to this section.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"max": "1",
"id": "Composition.section.mode",
"comment": "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.mode"
},
"isSummary": true
}, {
"path": "Composition.section.orderedBy",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"definition": "Specifies the order applied to the items in the section entries.",
"short": "Order of section entries",
"mapping": [ {
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEntryOrder"
} ],
"description": "What order applies to the items in the entry.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
}
},
"max": "1",
"id": "Composition.section.orderedBy",
"comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.orderedBy"
}
}, {
"path": "Composition.section.entry",
"min": 0,
"definition": "A reference to the actual resource from which the narrative in the section is derived.",
"short": "A reference to data that supports this section",
"mapping": [ {
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": ".entry",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"max": "*",
"id": "Composition.section.entry",
"condition": [ "cmp-2" ],
"comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.entry"
}
}, {
"path": "Composition.section.emptyReason",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"min": 0,
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"short": "Why the section is empty",
"mapping": [ {
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SectionEmptyReason"
} ],
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"max": "1",
"id": "Composition.section.emptyReason",
"condition": [ "cmp-2" ],
"comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"base": {
"max": "1",
"min": 0,
"path": "Composition.section.emptyReason"
}
}, {
"path": "Composition.section.section",
"min": 0,
"definition": "A nested sub-section within this section.",
"short": "Nested Section",
"mapping": [ {
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
"identity": "rim"
}, {
"map": ".component.section",
"identity": "cda"
} ],
"contentReference": "#Composition.section",
"max": "*",
"id": "Composition.section.section",
"condition": [ "cmp-1" ],
"comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"base": {
"max": "*",
"min": 0,
"path": "Composition.section.section"
}
} ]
},
"status": "draft",
"id": "68b45ede-6c15-48e0-bce6-d33b248f03b3",
"kind": "resource",
"url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate",
"context": [ "Composition" ],
"version": "0.1.0",
"differential": {
"element": [ {
"id": "Composition",
"path": "Composition"
}, {
"id": "Composition.id",
"max": "1",
"min": 0,
"path": "Composition.id",
"short": "id",
"definition": "MAY contain zero or one [0..1] id (CONF:4393-364)."
}, {
"id": "Composition.meta",
"max": "1",
"min": 0,
"path": "Composition.meta",
"short": "meta",
"definition": "MAY contain zero or one [0..1] meta (CONF:4393-363)."
}, {
"id": "Composition.meta.profile",
"max": "1",
"min": 1,
"path": "Composition.meta.profile",
"short": "profile",
"definition": "The meta, if present, SHALL contain exactly one [1..1] profile=\"http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate\"(CONF:4393-365).",
"patternString": "http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate"
}, {
"id": "Composition.identifier",
"max": "1",
"min": 1,
"path": "Composition.identifier",
"short": "identifier",
"definition": "SHALL contain exactly one [1..1] identifier (CONF:4393-374)."
}, {
"id": "Composition.status",
"max": "1",
"min": 1,
"path": "Composition.status",
"type": [ {
"code": "code"
} ],
"short": "status",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-status"
}
},
"definition": "SHALL contain exactly one [1..1] status, which SHALL be selected from ValueSet CompositionStatus http://hl7.org/fhir/ValueSet/CompositionStatus DYNAMIC (CONF:4393-375)."
}, {
"id": "Composition.type",
"max": "1",
"min": 1,
"path": "Composition.type",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "type",
"definition": "SHALL contain exactly one [1..1] type=\"64297-5\"(CONF:4393-377).",
"fixedCodeableConcept": {
"coding": [ {
"code": "64297-5"
} ]
}
}, {
"id": "Composition.subject",
"max": "1",
"min": 1,
"path": "Composition.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"short": "subject",
"definition": "SHALL contain exactly one [1..1] subject=\"VRDR Decedent\"(CONF:4393-376).",
"patternString": "VRDR Decedent"
}, {
"id": "Composition.date",
"max": "1",
"min": 1,
"path": "Composition.date",
"short": "date",
"definition": "SHALL contain exactly one [1..1] date (CONF:4393-370)."
}, {
"id": "Composition.attester",
"max": "1",
"min": 1,
"path": "Composition.attester",
"type": [ {
"code": "BackboneElement"
} ],
"short": "attester",
"definition": "SHALL contain exactly one [1..1] attester=\"\"legal\"\"(CONF:4393-366).",
"fixedString": "\"legal\""
}, {
"id": "Composition.attester.mode",
"max": "1",
"min": 1,
"path": "Composition.attester.mode",
"type": [ {
"code": "code"
} ],
"short": "mode",
"definition": "This attester SHALL contain exactly one [1..1] mode=\"\"legal\"\"(CONF:4393-367).",
"fixedString": "\"legal\""
}, {
"id": "Composition.attester.time",
"max": "1",
"min": 1,
"path": "Composition.attester.time",
"short": "time",
"definition": "This attester SHALL contain exactly one [1..1] time (CONF:4393-369)."
}, {
"id": "Composition.attester.party",
"max": "1",
"min": 1,
"path": "Composition.attester.party",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
} ],
"short": "party",
"definition": "This attester SHALL contain exactly one [1..1] party=\"VRDR Certifier\"(CONF:4393-368).",
"patternString": "VRDR Certifier"
}, {
"id": "Composition.event",
"max": "1",
"min": 1,
"path": "Composition.event",
"type": [ {
"code": "BackboneElement"
} ],
"short": "event",
"definition": "SHALL contain exactly one [1..1] event=\"\"103693007\"\"(CONF:4393-371).",
"fixedString": "\"103693007\""
}, {
"id": "Composition.event.code",
"max": "1",
"min": 1,
"path": "Composition.event.code",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "code",
"definition": "This event SHALL contain exactly one [1..1] code=\"\"103693007\"\"(CONF:4393-372).",
"fixedCodeableConcept": {
"coding": [ {
"code": "\"103693007\""
} ]
}
}, {
"id": "Composition.event.detail",
"max": "1",
"min": 1,
"path": "Composition.event.detail",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
} ],
"short": "detail",
"definition": "This event SHALL contain exactly one [1..1] detail=\"VRDR Death Certification\" (CONF:4393-373).",
"patternString": "VRDR Death Certification"
} ]
},
"contact": [ {
"name": "AbdulMalik Shakir",
"telecom": [ {
"use": "work",
"value": "6266444491",
"system": "phone"
}, {
"use": "work",
"value": "abdulmalik.shakir@hi3solutions.com",
"system": "email"
} ]
} ],
"contextType": "resource",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition"
}