馃嚚馃嚤 EMA Health Chile Implementation Guide
0.1.0 - ci-build

馃嚚馃嚤 EMA Health Chile Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7庐 FHIR庐 Standard) Build Tools. See the Directory of published versions

Resource Profile: EMA Composition

Official URL: https://emahealth.io/fhir/cl/StructureDefinition/ema-composition Version: 0.1.0
Draft as of 2026-06-30 Computable Name: EmaComposition

Documento cl铆nico estructurado (epicrisis, informe de alta, resumen cl铆nico) en EMA Clinic, basado en DocumentoCl de CLCore.

Descripci贸n

EmaComposition modela documentos cl铆nicos estructurados en EMA Clinic: epicrisis, informes de alta, res煤menes cl铆nicos. Extiende el perfil DocumentoCl de CLCore.

Herencia CLCore

Este perfil hereda de DocumentoCl de CLCore v1.9.3, que define la estructura base para documentos cl铆nicos en Chile, incluyendo tipo de documento y secciones narrativas.

Uso

  • type: Obligatorio. Tipo de documento cl铆nico (epicrisis, informe, resumen).
  • subject: Paciente al que refiere el documento (EmaPatient).
  • author: Profesional autor del documento (EmaPractitioner).
  • title: Obligatorio. T铆tulo descriptivo del documento.
  • section: Al menos una secci贸n con contenido narrativo o referencias a recursos.

Diferencia con EmaDocumentReference

  • EmaComposition: Documento estructurado con secciones narrativas y referencias a recursos FHIR (ej: epicrisis con diagn贸sticos, medicamentos, procedimientos).
  • EmaDocumentReference: Referencia a un documento adjunto (PDF, imagen, archivo escaneado).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* DocumentoCl A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!危 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S危 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versi贸n del mismo
... type S危 1..1 CodeableConcept Tipo de Documento seg煤n especificaci贸n de LOINC (Ej para Summarie IPS Loinc = #60591-5
Binding: Tipos de Documentos Cl铆nicos (preferred)
... subject S危 1..1 Reference(EMA Patient) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
... encounter S危 0..1 Reference(CL Encuentro Cl铆nico) Contexto asistencial en el cual se gener贸 Documento.
... date S危 1..1 dateTime Fecha en la cual se edit贸 el documento
... author S危 1..* Reference(EMA Practitioner) Quien Ha creado el documento
... title S危 1..1 string T铆tulo del documento generado
... attester S 0..* BackboneElement Profesionales validadores del documento
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode S 1..1 code Labor del Validador personal|profesional|legal|official
Binding: CompositionAttestationMode (required): C贸digos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validaci贸n
.... party S 0..1 Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organizaci贸n) Quien valid贸
... custodian S危 0..1 Reference(CL Organizaci贸n) Organizaci贸n que mantiene los documentos
... section SC 1..* BackboneElement Secci贸n del documento
Constraints: cmp-1, cmp-2
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConcept C贸digo que define el tipo de secci贸n
Binding: DocumentSectionCodes (example)
.... text SC 0..1 Narrative Texto que describe el contenido de la secci贸n
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta secci贸n

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
Composition.type Base preferred Tipos de Documentos Cl铆nicos 📦1.9.4 Gu铆a de Implementaci贸n ''cl core'' FHIR R4, v1.9
Composition.attester.鈥媘ode Base required CompositionAttestationMode 📦4.0.1 FHIR Std.
Composition.section.鈥媍ode Base example Document Section Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If 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-4 error Composition If 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-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentoCl

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* DocumentoCl A set of resources composed into a single coherent clinical statement with clinical attestation
... subject 1..1 Reference(EMA Patient) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
... author 1..* Reference(EMA Practitioner) Quien Ha creado el documento

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* DocumentoCl A set of resources composed into a single coherent clinical statement with clinical attestation
... id 危 0..1 id Logical id of this artifact
... meta 危 0..1 Meta Metadata about the resource
... implicitRules ?!危 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S危 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versi贸n del mismo
... status ?!S危 1..1 code Estado, valores posibles: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): C贸digos requeridos por est谩ndar
... type S危 1..1 CodeableConcept Tipo de Documento seg煤n especificaci贸n de LOINC (Ej para Summarie IPS Loinc = #60591-5
Binding: Tipos de Documentos Cl铆nicos (preferred)
... category 危 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject S危 1..1 Reference(EMA Patient) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
... encounter S危 0..1 Reference(CL Encuentro Cl铆nico) Contexto asistencial en el cual se gener贸 Documento.
... date S危 1..1 dateTime Fecha en la cual se edit贸 el documento
... author S危 1..* Reference(EMA Practitioner) Quien Ha creado el documento
... title S危 1..1 string T铆tulo del documento generado
... confidentiality 危 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester S 0..* BackboneElement Profesionales validadores del documento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode S 1..1 code Labor del Validador personal|profesional|legal|official
Binding: CompositionAttestationMode (required): C贸digos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validaci贸n
.... party S 0..1 Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organizaci贸n) Quien valid贸
... custodian S危 0..1 Reference(CL Organizaci贸n) Organizaci贸n que mantiene los documentos
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event 危 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 危 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period 危 0..1 Period The period covered by the documentation
.... detail 危 0..* Reference(Resource) The event(s) being documented
... section SC 1..* BackboneElement Secci贸n del documento
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code S 0..1 CodeableConcept C贸digo que define el tipo de secci贸n
Binding: DocumentSectionCodes (example)
.... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text SC 0..1 Narrative Texto que describe el contenido de la secci贸n
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta secci贸n
.... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
Composition.type Base preferred Tipos de Documentos Cl铆nicos 📦1.9.4 Gu铆a de Implementaci贸n ''cl core'' FHIR R4, v1.9
Composition.category Base example Document Class Value Set 📦4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.鈥媘ode Base required CompositionAttestationMode 📦4.0.1 FHIR Std.
Composition.relatesTo.鈥媍ode Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
Composition.section.鈥媍ode Base example Document Section Codes 📦4.0.1 FHIR Std.
Composition.section.鈥媘ode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.鈥媜rderedBy Base preferred List Order Codes 📦4.0.1 FHIR Std.
Composition.section.鈥媏mptyReason Base preferred List Empty Reasons 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If 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-4 error Composition If 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-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentoCl

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* DocumentoCl A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!危 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S危 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versi贸n del mismo
... type S危 1..1 CodeableConcept Tipo de Documento seg煤n especificaci贸n de LOINC (Ej para Summarie IPS Loinc = #60591-5
Binding: Tipos de Documentos Cl铆nicos (preferred)
... subject S危 1..1 Reference(EMA Patient) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
... encounter S危 0..1 Reference(CL Encuentro Cl铆nico) Contexto asistencial en el cual se gener贸 Documento.
... date S危 1..1 dateTime Fecha en la cual se edit贸 el documento
... author S危 1..* Reference(EMA Practitioner) Quien Ha creado el documento
... title S危 1..1 string T铆tulo del documento generado
... attester S 0..* BackboneElement Profesionales validadores del documento
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode S 1..1 code Labor del Validador personal|profesional|legal|official
Binding: CompositionAttestationMode (required): C贸digos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validaci贸n
.... party S 0..1 Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organizaci贸n) Quien valid贸
... custodian S危 0..1 Reference(CL Organizaci贸n) Organizaci贸n que mantiene los documentos
... section SC 1..* BackboneElement Secci贸n del documento
Constraints: cmp-1, cmp-2
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConcept C贸digo que define el tipo de secci贸n
Binding: DocumentSectionCodes (example)
.... text SC 0..1 Narrative Texto que describe el contenido de la secci贸n
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta secci贸n

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
Composition.type Base preferred Tipos de Documentos Cl铆nicos 📦1.9.4 Gu铆a de Implementaci贸n ''cl core'' FHIR R4, v1.9
Composition.attester.鈥媘ode Base required CompositionAttestationMode 📦4.0.1 FHIR Std.
Composition.section.鈥媍ode Base example Document Section Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If 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-4 error Composition If 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-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DocumentoCl

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* DocumentoCl A set of resources composed into a single coherent clinical statement with clinical attestation
... subject 1..1 Reference(EMA Patient) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
... author 1..* Reference(EMA Practitioner) Quien Ha creado el documento

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* DocumentoCl A set of resources composed into a single coherent clinical statement with clinical attestation
... id 危 0..1 id Logical id of this artifact
... meta 危 0..1 Meta Metadata about the resource
... implicitRules ?!危 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S危 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versi贸n del mismo
... status ?!S危 1..1 code Estado, valores posibles: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): C贸digos requeridos por est谩ndar
... type S危 1..1 CodeableConcept Tipo de Documento seg煤n especificaci贸n de LOINC (Ej para Summarie IPS Loinc = #60591-5
Binding: Tipos de Documentos Cl铆nicos (preferred)
... category 危 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject S危 1..1 Reference(EMA Patient) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
... encounter S危 0..1 Reference(CL Encuentro Cl铆nico) Contexto asistencial en el cual se gener贸 Documento.
... date S危 1..1 dateTime Fecha en la cual se edit贸 el documento
... author S危 1..* Reference(EMA Practitioner) Quien Ha creado el documento
... title S危 1..1 string T铆tulo del documento generado
... confidentiality 危 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester S 0..* BackboneElement Profesionales validadores del documento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode S 1..1 code Labor del Validador personal|profesional|legal|official
Binding: CompositionAttestationMode (required): C贸digos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validaci贸n
.... party S 0..1 Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organizaci贸n) Quien valid贸
... custodian S危 0..1 Reference(CL Organizaci贸n) Organizaci贸n que mantiene los documentos
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event 危 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 危 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period 危 0..1 Period The period covered by the documentation
.... detail 危 0..* Reference(Resource) The event(s) being documented
... section SC 1..* BackboneElement Secci贸n del documento
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code S 0..1 CodeableConcept C贸digo que define el tipo de secci贸n
Binding: DocumentSectionCodes (example)
.... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text SC 0..1 Narrative Texto que describe el contenido de la secci贸n
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta secci贸n
.... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📦4.0.1 FHIR Std.
Composition.type Base preferred Tipos de Documentos Cl铆nicos 📦1.9.4 Gu铆a de Implementaci贸n ''cl core'' FHIR R4, v1.9
Composition.category Base example Document Class Value Set 📦4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.鈥媘ode Base required CompositionAttestationMode 📦4.0.1 FHIR Std.
Composition.relatesTo.鈥媍ode Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
Composition.section.鈥媍ode Base example Document Section Codes 📦4.0.1 FHIR Std.
Composition.section.鈥媘ode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.鈥媜rderedBy Base preferred List Order Codes 📦4.0.1 FHIR Std.
Composition.section.鈥媏mptyReason Base preferred List Empty Reasons 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If 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-4 error Composition If 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-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentoCl

 

Other representations of profile: CSV, Excel, Schematron