FHIR Implementation Guide for ABDM - Local Development build (v7.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: WellnessRecord

The Clinical Artifact represents regular wellness information of patients typically through the Patient Health Record (PHR) application covering clinical information such as vitals, physical examination, general wellness, women wellness, etc., that can be shared across the health ecosystem.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
text	SΣ	0..1	string	Plain text representation of the concept Fixed Value: Wellness Record
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
party		0..1	Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open At End by value:title Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:VitalSigns	C	0..1	BackboneElement	The Section records the patient's body's basic functions such as blood pressure, heart rate, respiratory rate etc. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Vital Signs
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationVitalSigns)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:BodyMeasurement	C	0..1	BackboneElement	The section records various body measurements that are important for assessing a patient's health, such as weight, height, BMI, and waist circumference. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Body Measurement
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationBodyMeasurement)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:PhysicalActivity	C	0..1	BackboneElement	The section records information about the patient's physical activities, including exercise routines, frequency, intensity, and type of activities Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Physical Activity
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationPhysicalActivity)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:GeneralAssessment	C	0..1	BackboneElement	The section includes general assessments of the patient's overall health status, such as physical examination findings and health risk assessments. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: General Assessment
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationGeneralAssessment)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:WomenHealth	C	0..1	BackboneElement	The section focuses on health information specific to women, including reproductive health, menstrual cycle and other gynecological assessments. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Women Health
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationWomenHealth)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:Lifestyle	C	0..1	BackboneElement	The section records lifestyle factors that can impact health, such as smoking status, alcohol consumption, diet, and sleep patterns. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Lifestyle
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationLifestyle)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:OtherObservations	C	0..1	BackboneElement	The section includes any other relevant observations such as additional laboratory results or patient-reported outcomes. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Other Observations
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(Observation | Condition)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:DocumentReference	C	0..1	BackboneElement	The section records documents, such as PDFs or images, Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Document Reference
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	SC	0..*	Reference(DocumentReference)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
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	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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 Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Kind of composition (LOINC if possible)
text	S	0..1	string	Plain text representation of the concept Fixed Value: Wellness Record
subject	S	1..1	Reference(Patient)	Who and/or what the composition is about
reference		1..1	string	Literal reference, Relative, internal or absolute URL
encounter		0..1	Reference(Encounter)	Context of the Composition
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who and/or what authored the composition
title	S	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Attests to accuracy of composition
party		0..1	Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian		0..1	Reference(Organization)	Organization which maintains the composition
Slices for section	S	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open At End by value:title
section:VitalSigns		0..1	BackboneElement	The Section records the patient's body's basic functions such as blood pressure, heart rate, respiratory rate etc.
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Vital Signs
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationVitalSigns)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:BodyMeasurement		0..1	BackboneElement	The section records various body measurements that are important for assessing a patient's health, such as weight, height, BMI, and waist circumference.
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Body Measurement
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationBodyMeasurement)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:PhysicalActivity		0..1	BackboneElement	The section records information about the patient's physical activities, including exercise routines, frequency, intensity, and type of activities
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Physical Activity
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationPhysicalActivity)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:GeneralAssessment		0..1	BackboneElement	The section includes general assessments of the patient's overall health status, such as physical examination findings and health risk assessments.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: General Assessment
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationGeneralAssessment)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:WomenHealth		0..1	BackboneElement	The section focuses on health information specific to women, including reproductive health, menstrual cycle and other gynecological assessments.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Women Health
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationWomenHealth)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:Lifestyle		0..1	BackboneElement	The section records lifestyle factors that can impact health, such as smoking status, alcohol consumption, diet, and sleep patterns.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Lifestyle
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationLifestyle)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:OtherObservations		0..1	BackboneElement	The section includes any other relevant observations such as additional laboratory results or patient-reported outcomes.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Other Observations
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(Observation | Condition)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:DocumentReference		0..1	BackboneElement	The section records documents, such as PDFs or images,
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Document Reference
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	S	0..*	Reference(DocumentReference)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept Fixed Value: Wellness Record
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
confidentiality	Σ	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	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
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	?!Σ	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	Σ	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open At End by value:title Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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	C	0..1	Narrative	Text summary of the section, for human interpretation 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	C	0..*	Reference(Resource)	A reference to data that supports this section
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
section:VitalSigns	C	0..1	BackboneElement	The Section records the patient's body's basic functions such as blood pressure, heart rate, respiratory rate etc. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Vital Signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | 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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationVitalSigns)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:BodyMeasurement	C	0..1	BackboneElement	The section records various body measurements that are important for assessing a patient's health, such as weight, height, BMI, and waist circumference. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Body Measurement
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationBodyMeasurement)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:PhysicalActivity	C	0..1	BackboneElement	The section records information about the patient's physical activities, including exercise routines, frequency, intensity, and type of activities Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Physical Activity
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationPhysicalActivity)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:GeneralAssessment	C	0..1	BackboneElement	The section includes general assessments of the patient's overall health status, such as physical examination findings and health risk assessments. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: General Assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationGeneralAssessment)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:WomenHealth	C	0..1	BackboneElement	The section focuses on health information specific to women, including reproductive health, menstrual cycle and other gynecological assessments. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Women Health
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationWomenHealth)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:Lifestyle	C	0..1	BackboneElement	The section records lifestyle factors that can impact health, such as smoking status, alcohol consumption, diet, and sleep patterns. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Lifestyle
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationLifestyle)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:OtherObservations	C	0..1	BackboneElement	The section includes any other relevant observations such as additional laboratory results or patient-reported outcomes. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Other Observations
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(Observation | Condition)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:DocumentReference	C	0..1	BackboneElement	The section records documents, such as PDFs or images, Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Document Reference
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | 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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(DocumentReference)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
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	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	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.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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 Composition

Summary

Mandatory: 3 elements(16 nested mandatory elements)
Must-Support: 20 elements
Fixed: 9 elements

Structures

This structure refers to these other structures:

• Patient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient)
• Encounter (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter)
• Device (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Device)
• Practitioner (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner)
• PractitionerRole (https://nrces.in/ndhm/fhir/r4/StructureDefinition/PractitionerRole)
• Organization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization)
• ObservationVitalSigns (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationVitalSigns)
• ObservationBodyMeasurement (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationBodyMeasurement)
• ObservationPhysicalActivity (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationPhysicalActivity)
• ObservationGeneralAssessment (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationGeneralAssessment)
• ObservationWomenHealth (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationWomenHealth)
• ObservationLifestyle (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationLifestyle)
• Observation (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation)
• Condition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition)
• DocumentReference (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section (Open at End)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
text	SΣ	0..1	string	Plain text representation of the concept Fixed Value: Wellness Record
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
party		0..1	Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open At End by value:title Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:VitalSigns	C	0..1	BackboneElement	The Section records the patient's body's basic functions such as blood pressure, heart rate, respiratory rate etc. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Vital Signs
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationVitalSigns)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:BodyMeasurement	C	0..1	BackboneElement	The section records various body measurements that are important for assessing a patient's health, such as weight, height, BMI, and waist circumference. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Body Measurement
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationBodyMeasurement)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:PhysicalActivity	C	0..1	BackboneElement	The section records information about the patient's physical activities, including exercise routines, frequency, intensity, and type of activities Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Physical Activity
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationPhysicalActivity)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:GeneralAssessment	C	0..1	BackboneElement	The section includes general assessments of the patient's overall health status, such as physical examination findings and health risk assessments. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: General Assessment
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationGeneralAssessment)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:WomenHealth	C	0..1	BackboneElement	The section focuses on health information specific to women, including reproductive health, menstrual cycle and other gynecological assessments. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Women Health
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationWomenHealth)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:Lifestyle	C	0..1	BackboneElement	The section records lifestyle factors that can impact health, such as smoking status, alcohol consumption, diet, and sleep patterns. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Lifestyle
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(ObservationLifestyle)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:OtherObservations	C	0..1	BackboneElement	The section includes any other relevant observations such as additional laboratory results or patient-reported outcomes. Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Other Observations
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	SC	0..*	Reference(Observation | Condition)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:DocumentReference	C	0..1	BackboneElement	The section records documents, such as PDFs or images, Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Document Reference
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	SC	0..*	Reference(DocumentReference)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
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	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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 Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Kind of composition (LOINC if possible)
text	S	0..1	string	Plain text representation of the concept Fixed Value: Wellness Record
subject	S	1..1	Reference(Patient)	Who and/or what the composition is about
reference		1..1	string	Literal reference, Relative, internal or absolute URL
encounter		0..1	Reference(Encounter)	Context of the Composition
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who and/or what authored the composition
title	S	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Attests to accuracy of composition
party		0..1	Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian		0..1	Reference(Organization)	Organization which maintains the composition
Slices for section	S	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open At End by value:title
section:VitalSigns		0..1	BackboneElement	The Section records the patient's body's basic functions such as blood pressure, heart rate, respiratory rate etc.
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Vital Signs
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationVitalSigns)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:BodyMeasurement		0..1	BackboneElement	The section records various body measurements that are important for assessing a patient's health, such as weight, height, BMI, and waist circumference.
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Body Measurement
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationBodyMeasurement)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:PhysicalActivity		0..1	BackboneElement	The section records information about the patient's physical activities, including exercise routines, frequency, intensity, and type of activities
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Physical Activity
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationPhysicalActivity)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:GeneralAssessment		0..1	BackboneElement	The section includes general assessments of the patient's overall health status, such as physical examination findings and health risk assessments.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: General Assessment
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationGeneralAssessment)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:WomenHealth		0..1	BackboneElement	The section focuses on health information specific to women, including reproductive health, menstrual cycle and other gynecological assessments.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Women Health
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationWomenHealth)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:Lifestyle		0..1	BackboneElement	The section records lifestyle factors that can impact health, such as smoking status, alcohol consumption, diet, and sleep patterns.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Lifestyle
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(ObservationLifestyle)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:OtherObservations		0..1	BackboneElement	The section includes any other relevant observations such as additional laboratory results or patient-reported outcomes.
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Other Observations
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	Who and/or what authored the section
entry	S	0..*	Reference(Observation | Condition)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section:DocumentReference		0..1	BackboneElement	The section records documents, such as PDFs or images,
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Document Reference
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | Organization)	Who and/or what authored the section
entry	S	0..*	Reference(DocumentReference)	A reference to data that supports this section
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept Fixed Value: Wellness Record
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
confidentiality	Σ	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	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
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	?!Σ	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	Σ	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open At End by value:title Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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	C	0..1	Narrative	Text summary of the section, for human interpretation 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	C	0..*	Reference(Resource)	A reference to data that supports this section
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
section:VitalSigns	C	0..1	BackboneElement	The Section records the patient's body's basic functions such as blood pressure, heart rate, respiratory rate etc. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Vital Signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | 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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationVitalSigns)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:BodyMeasurement	C	0..1	BackboneElement	The section records various body measurements that are important for assessing a patient's health, such as weight, height, BMI, and waist circumference. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Body Measurement
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationBodyMeasurement)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:PhysicalActivity	C	0..1	BackboneElement	The section records information about the patient's physical activities, including exercise routines, frequency, intensity, and type of activities Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Physical Activity
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationPhysicalActivity)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:GeneralAssessment	C	0..1	BackboneElement	The section includes general assessments of the patient's overall health status, such as physical examination findings and health risk assessments. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: General Assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationGeneralAssessment)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:WomenHealth	C	0..1	BackboneElement	The section focuses on health information specific to women, including reproductive health, menstrual cycle and other gynecological assessments. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Women Health
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationWomenHealth)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:Lifestyle	C	0..1	BackboneElement	The section records lifestyle factors that can impact health, such as smoking status, alcohol consumption, diet, and sleep patterns. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Lifestyle
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(ObservationLifestyle)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:OtherObservations	C	0..1	BackboneElement	The section includes any other relevant observations such as additional laboratory results or patient-reported outcomes. Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Other Observations
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Organization | Patient | PractitionerRole | Practitioner)	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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(Observation | Condition)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
section:DocumentReference	C	0..1	BackboneElement	The section records documents, such as PDFs or images, Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC) Fixed Value: Document Reference
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Patient | 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	C	0..1	Narrative	Text summary of the section, for human interpretation 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(DocumentReference)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
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	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	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.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:VitalSigns.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:BodyMeasurement.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:PhysicalActivity.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:GeneralAssessment.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:WomenHealth.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:Lifestyle.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:OtherObservations.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:DocumentReference.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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, Composition.section:VitalSigns, Composition.section:BodyMeasurement, Composition.section:PhysicalActivity, Composition.section:GeneralAssessment, Composition.section:WomenHealth, Composition.section:Lifestyle, Composition.section:OtherObservations, Composition.section:DocumentReference	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 Composition

Summary

Mandatory: 3 elements(16 nested mandatory elements)
Must-Support: 20 elements
Fixed: 9 elements

Structures

This structure refers to these other structures:

• Patient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient)
• Encounter (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter)
• Device (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Device)
• Practitioner (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner)
• PractitionerRole (https://nrces.in/ndhm/fhir/r4/StructureDefinition/PractitionerRole)
• Organization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization)
• ObservationVitalSigns (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationVitalSigns)
• ObservationBodyMeasurement (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationBodyMeasurement)
• ObservationPhysicalActivity (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationPhysicalActivity)
• ObservationGeneralAssessment (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationGeneralAssessment)
• ObservationWomenHealth (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationWomenHealth)
• ObservationLifestyle (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationLifestyle)
• Observation (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation)
• Condition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition)
• DocumentReference (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section (Open at End)