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Composition Structure
| HL7 | Name | Type | M/O | Description | Result |
|---|---|---|---|---|---|
| "identifier" : { Identifier }, // Version-independent identifier for the Composition | id | uuid | M | ok | |
| "status" : "<code>", // R! preliminary | final | amended | entered-in-error | status | enum | M | dic.:composition_statuses(final, entrered_in_error) | ok |
| "type" : { CodeableConcept }, // R! Kind of composition (LOINC if possible) | type | CodeableConcept | LOINC-? | ? | |
| "category" : [{ CodeableConcept }], // Categorization of Composition | ? | ||||
| "subject" : { Reference(Any) }, // Who and/or what the composition is about | subject | uuid | M | patient_id | ok |
| "encounter" : { Reference(Encounter) }, // Context of the Composition | encounter | Reference(Encounter) | M | ok | |
| "date" : "<dateTime>", // R! Composition editing time | date | dateTime | M | ||
| "author" : [{ Reference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization) }], // R! Who and/or what authored the composition | author | Reference(employee) | M | could be taken from token | ok |
| "title" : "<string>", // R! Human Readable name/title | title | string(2000) | O | ok | |
| "confidentiality" : "<code>", // As defined by affinity domain | |||||
| "attester" : [{ // Attests to accuracy of composition "mode" : "<code>", // R! personal | professional | legal | official "time" : "<dateTime>", // When the composition was attested "party" : { Reference(Patient|RelatedPerson|Practitioner|PractitionerRole| Organization) } // Who attested the composition }], | attester | Reference(employee) | M | ok | |
| "custodian" : { Reference(Organization) }, // Organization which maintains the composition | custodian | Reference(legal_entity) | M | could be taken from token | ok |
| "relatesTo" : [{ // Relationships to other compositions/documents "code" : "<code>", // R! replaces | transforms | signs | appends // target[x]: Target of the relationship. One of these 2: "targetIdentifier" : { Identifier } "targetReference" : { Reference(Composition) } }], | ? | ||||
| "event" : [{ // The clinical service(s) being documented "code" : [{ CodeableConcept }], // Code(s) that apply to the event being documented "period" : { Period }, // The period covered by the documentation "detail" : [{ Reference(Any) }] // The event(s) being documented }], | ? | ||||
"section" : [{ // Composition is broken into sections | title | string | |||
| code | CodeableConcept | ||||
| author | Reference(employee) | ? | |||
| focus | Reference(patient) | ? | |||
| text | string | O | |||
| mode | ? | ||||
| orderedBy | ? | ||||
| entry | { Reference(eHealth resourse) } | O | |||
| emptyReason | CodeableConcept | dictionary-? is mandatory if entry is empty | |||
| section | ? |