identifier | No | Identifier | Version-independent identifier for the Composition |
status | Yes | code | preliminary / final / amended / entered-in-error |
type | Yes | CodeableConcept | Kind of composition (LOINC if possible) |
category | No | CodeableConcept[] | Categorization of Composition |
subject | No | Reference<Resource> | Who and/or what the composition is about |
encounter | No | Reference<Encounter> | Context of the Composition |
date | Yes | dateTime | Composition editing time |
author | Yes | Reference<Practitioner / PractitionerRole / Device / Patient / RelatedPerson / Organization>[] | Who and/or what authored the composition |
title | Yes | string | Human Readable name/title |
confidentiality | No | code | As defined by affinity domain |
attester | No | CompositionAttester | Attests to accuracy of composition |
- id | No | string | Unique id for inter-element referencing |
- extension | No | Extension[] | Additional content defined by implementations |
- modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
- mode | Yes | code | personal / professional / legal / official |
- time | No | dateTime | When the composition was attested |
- party | No | Reference<Patient / RelatedPerson / Practitioner / PractitionerRole / Organization> | Who attested the composition |
custodian | No | Reference<Organization> | Organization which maintains the composition |
relatesTo | No | CompositionRelatesTo | Relationships to other compositions/documents |
- id | No | string | Unique id for inter-element referencing |
- extension | No | Extension[] | Additional content defined by implementations |
- modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
- code | Yes | code | replaces / transforms / signs / appends |
- target[x] | Yes | Identifier, Reference<Composition> | Target of the relationship |
event | No | CompositionEvent | The clinical service(s) being documented |
- id | No | string | Unique id for inter-element referencing |
- extension | No | Extension[] | Additional content defined by implementations |
- modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
- code | No | CodeableConcept[] | Code(s) that apply to the event being documented |
- period | No | Period | The period covered by the documentation |
- detail | No | Reference<Resource>[] | The event(s) being documented |
section | No | CompositionSection | Composition is broken into sections |
- id | No | string | Unique id for inter-element referencing |
- extension | No | Extension[] | Additional content defined by implementations |
- modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
- title | No | string | Label for section (e.g. for ToC) |
- code | No | CodeableConcept | Classification of section (recommended) |
- author | No | Reference<Practitioner / PractitionerRole / Device / Patient / RelatedPerson / Organization>[] | Who and/or what authored the section |
- focus | No | Reference<Resource> | Who/what the section is about, when it is not about the subject of composition |
- text | No | Narrative | Text summary of the section, for human interpretation |
- mode | No | code | working / snapshot / changes |
- orderedBy | No | CodeableConcept | Order of section entries |
- entry | No | Reference<Resource>[] | A reference to data that supports this section |
- emptyReason | No | CodeableConcept | Why the section is empty |
- section | No | [] | Nested Section |