This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Composition DEATH

用於表示死亡資料檔(DEATH)資料集之文檔

Usage:

• Use this Resource Profile: Bundle DEATH
• Examples for this Resource Profile: Composition/com-DEATH

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
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Group | Device | Substance | TW Core Location | Patient DEATH-病患基本資料)	Composition是關於誰和/或什麼 ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	Composition的編輯時間 ele-1: All FHIR elements must have a @value or children
author	SΣ	1..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core RelatedPerson | Patient DEATH-病患基本資料)	誰和/或什麼創建了這個Composition ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	人類可讀的名稱/標題 ele-1: All FHIR elements must have a @value or children
attester	S	0..*	BackboneElement	證明Composition的準確性 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
custodian	SΣ	0..1	Reference(TW Core Organization)	維護Composition的機構 ele-1: All FHIR elements must have a @value or children
Slices for section	SC	1..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料 ele-1: All FHIR elements must have a @value or children
section:Condition	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Fixed Value: http://loinc.org
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children Fixed Value: 79378-6
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 ele-1: All FHIR elements must have a @value or children
entry	SC	1..*	Reference(Condition DEATH-死因分類)	提供一個連結用於參照或查看支持此小節內容的資料 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section:Condition.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:Condition	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:Condition	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 TWCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
subject		1..1	Reference(Group | Device | Substance | TW Core Location | Patient DEATH-病患基本資料)	Composition是關於誰和/或什麼
author		1..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core RelatedPerson | Patient DEATH-病患基本資料)	誰和/或什麼創建了這個Composition
Slices for section		1..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Open by value:code.coding.code
section:Condition		1..*	BackboneElement	Composition被分成一個或數個小節
code		1..1	CodeableConceptTW	小節分類(建議)
coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system		1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org
code		1..1	code	系統定義的語法之符號 Fixed Value: 79378-6
entry		1..*	Reference(Condition DEATH-死因分類)	提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Composition Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Composition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的(contained)、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
category		0..*	CodeableConceptTW	Composition的分類 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(Group | Device | Substance | TW Core Location | Patient DEATH-病患基本資料)	Composition是關於誰和/或什麼
encounter	Σ	0..1	Reference(TW Core Encounter)	Composition的情境
date	SΣ	1..1	dateTime	Composition的編輯時間
author	SΣ	1..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core RelatedPerson | Patient DEATH-病患基本資料)	誰和/或什麼創建了這個Composition
title	SΣ	1..1	string	人類可讀的名稱/標題
confidentiality	Σ	0..1	code	根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester	S	0..*	BackboneElement	證明Composition的準確性
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): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time		0..1	dateTime	此Composition被證明的時間
party		0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰證明了此Composition
custodian	SΣ	0..1	Reference(TW Core Organization)	維護Composition的機構
relatesTo		0..*	BackboneElement	與其他Composition/文件之間的關係
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): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x]		1..1		此關係的目標文件
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	正在記錄的臨床服務
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		0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period	Σ	0..1	Period	文件所涵蓋的時間區間
detail	Σ	0..*	Reference(Resource)	在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
Slices for section	SC	1..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC)
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
author		0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
section	C	0..*	See section (Composition)	嵌套的小節
section:Condition	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC)
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號 Fixed Value: 79378-6
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
author		0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
entry	SC	1..*	Reference(Condition DEATH-死因分類)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
section	C	0..*	See section (Composition)	嵌套的小節
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
Composition.category	extensible	LOINCDocumentClass https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-document-classcodes
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Condition.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section:Condition.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Condition.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Condition.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:Condition	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:Condition	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 TWCoreComposition

Summary

Mandatory: 8 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• TW Core Location (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore)
• Patient DEATH-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientDEATH)
• TW Core Practitioner (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core Organization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• Condition DEATH-死因分類 (https://www.ghd.tw/cdm-fhir/StructureDefinition/ConditionDEATH)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Group | Device | Substance | TW Core Location | Patient DEATH-病患基本資料)	Composition是關於誰和/或什麼 ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	Composition的編輯時間 ele-1: All FHIR elements must have a @value or children
author	SΣ	1..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core RelatedPerson | Patient DEATH-病患基本資料)	誰和/或什麼創建了這個Composition ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	人類可讀的名稱/標題 ele-1: All FHIR elements must have a @value or children
attester	S	0..*	BackboneElement	證明Composition的準確性 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
custodian	SΣ	0..1	Reference(TW Core Organization)	維護Composition的機構 ele-1: All FHIR elements must have a @value or children
Slices for section	SC	1..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料 ele-1: All FHIR elements must have a @value or children
section:Condition	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Fixed Value: http://loinc.org
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children Fixed Value: 79378-6
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 ele-1: All FHIR elements must have a @value or children
entry	SC	1..*	Reference(Condition DEATH-死因分類)	提供一個連結用於參照或查看支持此小節內容的資料 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section:Condition.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:Condition	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:Condition	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 TWCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
subject		1..1	Reference(Group | Device | Substance | TW Core Location | Patient DEATH-病患基本資料)	Composition是關於誰和/或什麼
author		1..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core RelatedPerson | Patient DEATH-病患基本資料)	誰和/或什麼創建了這個Composition
Slices for section		1..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Open by value:code.coding.code
section:Condition		1..*	BackboneElement	Composition被分成一個或數個小節
code		1..1	CodeableConceptTW	小節分類(建議)
coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system		1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org
code		1..1	code	系統定義的語法之符號 Fixed Value: 79378-6
entry		1..*	Reference(Condition DEATH-死因分類)	提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Composition Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Composition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的(contained)、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
category		0..*	CodeableConceptTW	Composition的分類 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(Group | Device | Substance | TW Core Location | Patient DEATH-病患基本資料)	Composition是關於誰和/或什麼
encounter	Σ	0..1	Reference(TW Core Encounter)	Composition的情境
date	SΣ	1..1	dateTime	Composition的編輯時間
author	SΣ	1..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core RelatedPerson | Patient DEATH-病患基本資料)	誰和/或什麼創建了這個Composition
title	SΣ	1..1	string	人類可讀的名稱/標題
confidentiality	Σ	0..1	code	根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester	S	0..*	BackboneElement	證明Composition的準確性
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): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time		0..1	dateTime	此Composition被證明的時間
party		0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰證明了此Composition
custodian	SΣ	0..1	Reference(TW Core Organization)	維護Composition的機構
relatesTo		0..*	BackboneElement	與其他Composition/文件之間的關係
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): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x]		1..1		此關係的目標文件
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	正在記錄的臨床服務
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		0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period	Σ	0..1	Period	文件所涵蓋的時間區間
detail	Σ	0..*	Reference(Resource)	在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
Slices for section	SC	1..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC)
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
author		0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
section	C	0..*	See section (Composition)	嵌套的小節
section:Condition	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC)
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號 Fixed Value: 79378-6
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
author		0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
entry	SC	1..*	Reference(Condition DEATH-死因分類)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
section	C	0..*	See section (Composition)	嵌套的小節
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
Composition.category	extensible	LOINCDocumentClass https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-document-classcodes
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Condition.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section:Condition.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Condition.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Condition.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:Condition	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:Condition	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 TWCoreComposition

Summary

Mandatory: 8 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• TW Core Location (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore)
• Patient DEATH-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientDEATH)
• TW Core Practitioner (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core Organization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• Condition DEATH-死因分類 (https://www.ghd.tw/cdm-fhir/StructureDefinition/ConditionDEATH)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section

Other representations of profile: CSV, Excel, Schematron