Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Atrius India Core Prescription Record

Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-prescription-record Version: 0.1.0
Draft as of 2026-07-24 Computable Name: AtriusInPrescriptionRecord
Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.100

Prescription Composition with NDHM PrescriptionRecord-equivalent constraints.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition(4.0.1) 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
Constraints: ext-1
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 440545006
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription record
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Atrius India Core Encounter(0.1.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) 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
Constraints: ext-1
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... party 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) Who attested the composition
... custodian Σ 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization which maintains the composition
... section SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Closed by value:type
..... entry:MedicationRequest SC 0..* Reference(Atrius India Core MedicationRequest(0.1.0)) A reference to data that supports this section
...... type Σ 1..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).
Required Pattern: MedicationRequest
..... entry:Binary SC 0..1 Reference(Binary) A reference to data that supports this section
...... type Σ 1..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).
Required Pattern: Binary

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base extensible Atrius India Core Composition Type Codes 📍0.1.0 This IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​entry:MedicationRequest.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Composition.section.​entry:Binary.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Composition.implicitRules, Composition.modifierExtension, Composition.status, Composition.type, Composition.type.text, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.title, Composition.attester, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.party, Composition.custodian, Composition.section, Composition.section.modifierExtension, Composition.section.code, Composition.section.code.coding, Composition.section.code.text, Composition.section.entry, Composition.section.entry:MedicationRequest, Composition.section.entry:MedicationRequest.type, Composition.section.entry:Binary, Composition.section.entry:Binary.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.modifierExtension, Composition.attester.modifierExtension, Composition.section.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition(4.0.1) 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)
Binding: AtriusInCompositionTypeCodesVS (0.1.0) (extensible)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 440545006
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription record
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Atrius India Core Patient(0.1.0)) Who and/or what the composition is about
... date S 1..1 dateTime Composition editing time
... author S 1..* Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) 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(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) Who attested the composition
... custodian 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization which maintains the composition
... section S 1..1 BackboneElement Composition is broken into sections
.... code
..... coding S 0..* Coding Code defined by a terminology system
..... text S 0..1 string Plain text representation of the concept
.... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Closed by value:type
..... entry:MedicationRequest S 0..* Reference(Atrius India Core MedicationRequest(0.1.0)) A reference to data that supports this section
...... type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: MedicationRequest
..... entry:Binary S 0..1 Reference(Binary) A reference to data that supports this section
...... type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Binary

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.type Base extensible Atrius India Core Composition Type Codes 📍0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition(4.0.1) 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
... 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
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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: AtriusInCompositionTypeCodesVS (0.1.0) (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 440545006
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription record
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... 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(Atrius India Core Patient(0.1.0)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Atrius India Core Encounter(0.1.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) Who attested the composition
... custodian Σ 0..1 Reference(Atrius India Core Organization(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: ActCode (3.0.0) (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
... section SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... 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.
.... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Closed by value:type
..... entry:MedicationRequest SC 0..* Reference(Atrius India Core MedicationRequest(0.1.0)) 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
Constraints: ext-1
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 1..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).
Required Pattern: MedicationRequest
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... entry:Binary SC 0..1 Reference(Binary) 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
Constraints: ext-1
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 1..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).
Required Pattern: Binary
...... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base extensible Atrius India Core Composition Type Codes 📍0.1.0 This IG
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​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 v7.2
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.​entry:MedicationRequest.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Composition.section.​entry:Binary.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.type, Composition.type.extension, Composition.type.coding, Composition.type.text, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.code, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.code.extension, Composition.section.code.coding, Composition.section.code.text, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.mode, Composition.section.orderedBy, Composition.section.entry, Composition.section.entry:MedicationRequest, Composition.section.entry:MedicationRequest.extension, Composition.section.entry:MedicationRequest.reference, Composition.section.entry:MedicationRequest.type, Composition.section.entry:MedicationRequest.identifier, Composition.section.entry:MedicationRequest.display, Composition.section.entry:Binary, Composition.section.entry:Binary.extension, Composition.section.entry:Binary.reference, Composition.section.entry:Binary.type, Composition.section.entry:Binary.identifier, Composition.section.entry:Binary.display, Composition.section.emptyReason, Composition.section.section All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.extension, Composition.modifierExtension, Composition.type.extension, Composition.attester.extension, Composition.attester.modifierExtension, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension, Composition.section.code.extension, Composition.section.entry:MedicationRequest.extension, Composition.section.entry:Binary.extension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition(4.0.1) 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
Constraints: ext-1
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 440545006
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription record
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Atrius India Core Encounter(0.1.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) 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
Constraints: ext-1
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... party 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) Who attested the composition
... custodian Σ 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization which maintains the composition
... section SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Closed by value:type
..... entry:MedicationRequest SC 0..* Reference(Atrius India Core MedicationRequest(0.1.0)) A reference to data that supports this section
...... type Σ 1..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).
Required Pattern: MedicationRequest
..... entry:Binary SC 0..1 Reference(Binary) A reference to data that supports this section
...... type Σ 1..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).
Required Pattern: Binary

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base extensible Atrius India Core Composition Type Codes 📍0.1.0 This IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​entry:MedicationRequest.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Composition.section.​entry:Binary.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Composition.implicitRules, Composition.modifierExtension, Composition.status, Composition.type, Composition.type.text, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.title, Composition.attester, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.party, Composition.custodian, Composition.section, Composition.section.modifierExtension, Composition.section.code, Composition.section.code.coding, Composition.section.code.text, Composition.section.entry, Composition.section.entry:MedicationRequest, Composition.section.entry:MedicationRequest.type, Composition.section.entry:Binary, Composition.section.entry:Binary.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.modifierExtension, Composition.attester.modifierExtension, Composition.section.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition(4.0.1) 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)
Binding: AtriusInCompositionTypeCodesVS (0.1.0) (extensible)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 440545006
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription record
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Atrius India Core Patient(0.1.0)) Who and/or what the composition is about
... date S 1..1 dateTime Composition editing time
... author S 1..* Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) 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(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) Who attested the composition
... custodian 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization which maintains the composition
... section S 1..1 BackboneElement Composition is broken into sections
.... code
..... coding S 0..* Coding Code defined by a terminology system
..... text S 0..1 string Plain text representation of the concept
.... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Closed by value:type
..... entry:MedicationRequest S 0..* Reference(Atrius India Core MedicationRequest(0.1.0)) A reference to data that supports this section
...... type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: MedicationRequest
..... entry:Binary S 0..1 Reference(Binary) A reference to data that supports this section
...... type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Binary

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.type Base extensible Atrius India Core Composition Type Codes 📍0.1.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition(4.0.1) 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
... 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
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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: AtriusInCompositionTypeCodesVS (0.1.0) (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 440545006
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription record
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... 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(Atrius India Core Patient(0.1.0)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Atrius India Core Encounter(0.1.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) Who attested the composition
... custodian Σ 0..1 Reference(Atrius India Core Organization(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: ActCode (3.0.0) (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
... section SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... 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.
.... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Closed by value:type
..... entry:MedicationRequest SC 0..* Reference(Atrius India Core MedicationRequest(0.1.0)) 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
Constraints: ext-1
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 1..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).
Required Pattern: MedicationRequest
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... entry:Binary SC 0..1 Reference(Binary) 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
Constraints: ext-1
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 1..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).
Required Pattern: Binary
...... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base extensible Atrius India Core Composition Type Codes 📍0.1.0 This IG
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​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 v7.2
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.​entry:MedicationRequest.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Composition.section.​entry:Binary.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.type, Composition.type.extension, Composition.type.coding, Composition.type.text, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.code, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.code.extension, Composition.section.code.coding, Composition.section.code.text, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.mode, Composition.section.orderedBy, Composition.section.entry, Composition.section.entry:MedicationRequest, Composition.section.entry:MedicationRequest.extension, Composition.section.entry:MedicationRequest.reference, Composition.section.entry:MedicationRequest.type, Composition.section.entry:MedicationRequest.identifier, Composition.section.entry:MedicationRequest.display, Composition.section.entry:Binary, Composition.section.entry:Binary.extension, Composition.section.entry:Binary.reference, Composition.section.entry:Binary.type, Composition.section.entry:Binary.identifier, Composition.section.entry:Binary.display, Composition.section.emptyReason, Composition.section.section All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.extension, Composition.modifierExtension, Composition.type.extension, Composition.attester.extension, Composition.attester.modifierExtension, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension, Composition.section.code.extension, Composition.section.entry:MedicationRequest.extension, Composition.section.entry:Binary.extension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron