ANS IG document core - version de développement local (v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

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Resource Profile: FR Composition Document

Ce profil est utilisé pour représenter un document médical.

Utilisations:

• Utiliser ce Profil: FR Bundle Document
• Référer à ce Profil: FR Composition Document

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
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Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Composition	C	0..*	ClinicalDocumentComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text	S	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
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:R5-Composition-version	SC	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: comp-1
extension:data-enterer	S	0..1	(Complexe)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : opérateur de saisie
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : ENT
display		1..1	string	Representation defined by the system Valeur fixe : data entry person
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		1..1	Extension	Date de la saisie
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant	S	0..*	(Complexe)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : Informateur
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : INF
display		1..1	string	Representation defined by the system Valeur fixe : informant
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document | FR RelatedPerson Document | FR Patient INS Document | FR Patient Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient	S	0..*	(Complexe)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : destinataire
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FR ValueSet Participation Type (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complexe)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: comp-3
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent	S	0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension
extension:basedOn	S	0..*	(Complexe)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made	S	0..1	(Complexe)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade
Slices pour modifierExtension	?!	0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
modifierExtension:R5-Composition-status	?!S	0..1	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices pour category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Non ordonné, Ouvert par value:text Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	SΣ	1..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : 107903-7
display		1..1	string	Representation defined by the system Valeur fixe : Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document | FR Patient Document)	Patient / Usager
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	1..1	Reference(FR Encounter Care Document)	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document | FR Patient INS Document | FR Patient Document | FR Device Document)	Auteur du document
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices pour attester	S	1..*	BackboneElement	Attests to accuracy of composition Slice: Non ordonné, Ouvert par value:mode
attester:Toutes les slices				Contenu/Règles pour toutes les slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legal_attester	S	1..1	BackboneElement	Responsable du document
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. Motif requis: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
attester:professional_attester	S	0..*	BackboneElement	Professionnel attestant la validité du contenu du document
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. Motif requis: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document)	Structure chargée de la conservation du document
Slices pour relatesTo	S	1..*	BackboneElement	Document de référence Slice: Non ordonné, Ouvert par value:code, type:target
relatesTo:Toutes les slices				Contenu/Règles pour toutes les slices
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.
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Fermé par type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
relatesTo:replaced_document	S	0..1	BackboneElement	The document(s) being superceded
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Motif requis: replaces
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
relatesTo:appended_document	S	0..*	BackboneElement	The document(s) being appended too
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. Motif requis: appends
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
relatesTo:transformed_document	S	0..1	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Motif requis: transforms
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Ouvert par type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices pour event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Non ordonné, Ouvert par value:$this
event:Toutes les slices				Contenu/Règles pour toutes les slices
Slices pour extension		0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		0..1	Reference(FR PractitionerRole Document)	Exécutant de l’évènement documenté URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		1..1	Reference(FR PractitionerRole Document)	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Non ordonné, Ouvert par value:code Constraints: cmp-1, cmp-2
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Composition.language	Base	preferred	Common Languages	📦4.0.1	Std. FHIR
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📦0.1.0	cet IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📦20210326120000	Terminologies de Santé v1.4
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📦20250523120000	Terminologies de Santé v1.4
Composition.status	Base	required	CompositionStatus	📍4.0.1	Std. FHIR
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	Std. FHIR
Composition.category	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	Std. FHIR
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR

Contraintes

Id	Grade	Chemin(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
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()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
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	bonne pratique	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**TOUS** les éléments	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**TOUTES** les extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ClinicalDocumentComposition

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Composition			ClinicalDocumentComposition
meta
Slices pour profile		0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:canonical		0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Motif requis: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document
language		1..1	code	Language of the resource content
extension		1..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:R5-Composition-version	C	1..1	R5 Composition.version	Version du document Constraints: comp-1
extension:data-enterer		0..1	DataEntererExtension	Data Enterer Extension
extension		3..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie
extension:time		1..1	Extension	Date de la saisie
extension:party		1..1	Extension	Opérateur
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
extension:informant		0..*	InformantExtension	Informant Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation : Informateur
extension:party		1..1	Extension	Informateur
value[x]		1..1	Reference(FR PractitionerRole Document | FR RelatedPerson Document | FR Patient INS Document | FR Patient Document)	Value of extension
extension:information-recipient		0..*	InformationRecipientExtension	Information Recipient Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation : destinataire
value[x]		1..1	CodeableConcept	Value of extension Binding: FR ValueSet Participation Type (required)
extension:party		1..1	Extension	Destinataire
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
extension:participant		0..*	ParticipantExtension	Participant Extension
extension		3..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
extension:party	C	1..1	Extension	Identification du participant Constraints: comp-3
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
extension:basedOn		0..*	BasedOn(5.2.0)	Fulfills plan, proposal or order
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
identifier		1..1	Identifier	Identifiant lot de versions
status	S	1..1	code	Statut du document
type		1..1	CodeableConcept	Type de document
subject		1..1	Reference(FR Patient INS Document | FR Patient Document)	Patient / Usager
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	S	1..1	Reference(FR Encounter Care Document)	Context of the Composition
date		1..1	dateTime	Date de création
author		1..*	Reference(FR PractitionerRole Document | FR Patient INS Document | FR Patient Document | FR Device Document)	Auteur du document
extension		1..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
title		1..1	string	Titre du document CDA
confidentiality	S	1..1	code	Niveau de confidentialité
attester		1..*	BackboneElement	Attests to accuracy of composition
Slices pour attester				Contenu/Règles pour toutes les slices
attester:legal_attester		1..1	BackboneElement	Responsable du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
custodian		1..1	Reference(FR Organization Document)	Structure chargée de la conservation du document
relatesTo		1..*	BackboneElement	Document de référence
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document)
Slices pour target[x]				Contenu/Règles pour toutes les slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices pour relatesTo				Contenu/Règles pour toutes les slices
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
Slices pour target[x]				Contenu/Règles pour toutes les slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
Slices pour target[x]				Contenu/Règles pour toutes les slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
code		1..1	code	replaces | transforms | signs | appends Motif requis: transforms
Slices pour event		1..*	BackboneElement	The clinical service(s) being documented Slice: Non ordonné, Ouvert par value:$this
event:Toutes les slices				Contenu/Règles pour toutes les slices
Slices pour extension		0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		0..1	Reference(FR PractitionerRole Document)	Exécutant de l’évènement documenté URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
period		0..1	Period	Date et heure de l’évènement documenté
detail		0..1	Reference(Resource)	The event(s) being documented
event:principalEvent		1..1	BackboneElement	Evènement documenté principal
extension		1..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:performer		1..1	Reference(FR PractitionerRole Document)	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
period		1..1	Period	Date et heure de l’évènement documenté
section		1..*	BackboneElement	Composition is broken into sections Slice: Non ordonné, Ouvert par value:code
Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📦0.1.0	cet IG
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📦20210326120000	Terminologies de Santé v1.4
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📦20250523120000	Terminologies de Santé v1.4

Contraintes

Id	Grade	Chemin(s)	Description	Expression
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Composition	C	0..*	ClinicalDocumentComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices pour profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Motif requis: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text	S	0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:R5-Composition-version	SC	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: comp-1
extension:data-enterer	S	0..1	(Complexe)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : opérateur de saisie
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : ENT
display		1..1	string	Representation defined by the system Valeur fixe : data entry person
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		1..1	Extension	Date de la saisie
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant	S	0..*	(Complexe)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : Informateur
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : INF
display		1..1	string	Representation defined by the system Valeur fixe : informant
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document | FR RelatedPerson Document | FR Patient INS Document | FR Patient Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient	S	0..*	(Complexe)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : destinataire
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FR ValueSet Participation Type (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complexe)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: comp-3
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent	S	0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension
extension:basedOn	S	0..*	(Complexe)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made	S	0..1	(Complexe)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade
Slices pour modifierExtension	?!	0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
modifierExtension:R5-Composition-status	?!S	0..1	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices pour category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Non ordonné, Ouvert par value:text Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	SΣ	1..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : 107903-7
display		1..1	string	Representation defined by the system Valeur fixe : Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document | FR Patient Document)	Patient / Usager
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference	SΣC	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	SΣ	1..1	Reference(FR Encounter Care Document)	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document | FR Patient INS Document | FR Patient Document | FR Device Document)	Auteur du document
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
reference	ΣC	0..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
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices pour attester	S	1..*	BackboneElement	Attests to accuracy of composition Slice: Non ordonné, Ouvert par value:mode
attester:Toutes les slices				Contenu/Règles pour toutes les 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
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legal_attester	S	1..1	BackboneElement	Responsable du document
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. Motif requis: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
attester:professional_attester	S	0..*	BackboneElement	Professionnel attestant la validité du contenu du document
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. Motif requis: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document)	Structure chargée de la conservation du document
Slices pour relatesTo	S	1..*	BackboneElement	Document de référence Slice: Non ordonné, Ouvert par value:code, type:target
relatesTo:Toutes les slices				Contenu/Règles pour toutes les 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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Fermé par type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:replaced_document	S	0..1	BackboneElement	The document(s) being superceded
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. Motif requis: replaces
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:appended_document	S	0..*	BackboneElement	The document(s) being appended too
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Motif requis: appends
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:transformed_document	S	0..1	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. Motif requis: transforms
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Ouvert par type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices pour event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Non ordonné, Ouvert par value:$this
event:Toutes les slices				Contenu/Règles pour toutes les slices
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		0..1	Reference(FR PractitionerRole Document)	Exécutant de l’évènement documenté URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
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	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		1..1	Reference(FR PractitionerRole Document)	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
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	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Non ordonné, Ouvert par value:code Constraints: cmp-1, cmp-2
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Composition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	Std. FHIR
Composition.meta.tag	Base	example	Common Tags	📍4.0.1	Std. FHIR
Composition.language	Base	preferred	Common Languages	📦4.0.1	Std. FHIR
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📦0.1.0	cet IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📦20210326120000	Terminologies de Santé v1.4
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📦20250523120000	Terminologies de Santé v1.4
Composition.status	Base	required	CompositionStatus	📍4.0.1	Std. FHIR
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	Std. FHIR
Composition.category	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	Std. FHIR
Composition.author.type	Base	extensible	ResourceType	📍4.0.1	Std. FHIR
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	Std. FHIR
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.0
Composition.event:principalEvent.​code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.0

Contraintes

Id	Grade	Chemin(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
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()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
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	bonne pratique	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**TOUS** les éléments	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**TOUTES** les extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ClinicalDocumentComposition

Résumé

Obligatoire : 20 éléments(11 éléments obligatoire(s) imbriqué(s))
Must-Support : 4 éléments

Structures

Cette structure fait référence à ces autres structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document)
• FR RelatedPerson Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-related-person-document)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document)
• FR Patient Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document)
• FR Encounter Care Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-encounter-care-document)
• FR Device Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-device-auteur-document)
• FR Organization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document)
• FR Composition Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document)

Extensions

Cette structure fait référence à ces extensions:

• https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
• https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension

Slices

Cette structure définit les slices suivantes:

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

Key Elements View

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Composition	C	0..*	ClinicalDocumentComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text	S	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
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:R5-Composition-version	SC	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: comp-1
extension:data-enterer	S	0..1	(Complexe)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : opérateur de saisie
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : ENT
display		1..1	string	Representation defined by the system Valeur fixe : data entry person
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		1..1	Extension	Date de la saisie
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant	S	0..*	(Complexe)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : Informateur
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : INF
display		1..1	string	Representation defined by the system Valeur fixe : informant
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document | FR RelatedPerson Document | FR Patient INS Document | FR Patient Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient	S	0..*	(Complexe)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : destinataire
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FR ValueSet Participation Type (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complexe)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: comp-3
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent	S	0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension
extension:basedOn	S	0..*	(Complexe)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made	S	0..1	(Complexe)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade
Slices pour modifierExtension	?!	0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
modifierExtension:R5-Composition-status	?!S	0..1	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices pour category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Non ordonné, Ouvert par value:text Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	SΣ	1..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : 107903-7
display		1..1	string	Representation defined by the system Valeur fixe : Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document | FR Patient Document)	Patient / Usager
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	1..1	Reference(FR Encounter Care Document)	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document | FR Patient INS Document | FR Patient Document | FR Device Document)	Auteur du document
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices pour attester	S	1..*	BackboneElement	Attests to accuracy of composition Slice: Non ordonné, Ouvert par value:mode
attester:Toutes les slices				Contenu/Règles pour toutes les slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legal_attester	S	1..1	BackboneElement	Responsable du document
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. Motif requis: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
attester:professional_attester	S	0..*	BackboneElement	Professionnel attestant la validité du contenu du document
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. Motif requis: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document)	Structure chargée de la conservation du document
Slices pour relatesTo	S	1..*	BackboneElement	Document de référence Slice: Non ordonné, Ouvert par value:code, type:target
relatesTo:Toutes les slices				Contenu/Règles pour toutes les slices
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.
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Fermé par type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
relatesTo:replaced_document	S	0..1	BackboneElement	The document(s) being superceded
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Motif requis: replaces
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
relatesTo:appended_document	S	0..*	BackboneElement	The document(s) being appended too
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. Motif requis: appends
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
relatesTo:transformed_document	S	0..1	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Motif requis: transforms
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Ouvert par type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices pour event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Non ordonné, Ouvert par value:$this
event:Toutes les slices				Contenu/Règles pour toutes les slices
Slices pour extension		0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		0..1	Reference(FR PractitionerRole Document)	Exécutant de l’évènement documenté URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		1..1	Reference(FR PractitionerRole Document)	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Non ordonné, Ouvert par value:code Constraints: cmp-1, cmp-2
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Composition.language	Base	preferred	Common Languages	📦4.0.1	Std. FHIR
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📦0.1.0	cet IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📦20210326120000	Terminologies de Santé v1.4
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📦20250523120000	Terminologies de Santé v1.4
Composition.status	Base	required	CompositionStatus	📍4.0.1	Std. FHIR
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	Std. FHIR
Composition.category	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	Std. FHIR
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR

Contraintes

Id	Grade	Chemin(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
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()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
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	bonne pratique	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**TOUS** les éléments	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**TOUTES** les extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from ClinicalDocumentComposition

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Composition			ClinicalDocumentComposition
meta
Slices pour profile		0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:canonical		0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Motif requis: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document
language		1..1	code	Language of the resource content
extension		1..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:R5-Composition-version	C	1..1	R5 Composition.version	Version du document Constraints: comp-1
extension:data-enterer		0..1	DataEntererExtension	Data Enterer Extension
extension		3..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie
extension:time		1..1	Extension	Date de la saisie
extension:party		1..1	Extension	Opérateur
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
extension:informant		0..*	InformantExtension	Informant Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation : Informateur
extension:party		1..1	Extension	Informateur
value[x]		1..1	Reference(FR PractitionerRole Document | FR RelatedPerson Document | FR Patient INS Document | FR Patient Document)	Value of extension
extension:information-recipient		0..*	InformationRecipientExtension	Information Recipient Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation : destinataire
value[x]		1..1	CodeableConcept	Value of extension Binding: FR ValueSet Participation Type (required)
extension:party		1..1	Extension	Destinataire
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
extension:participant		0..*	ParticipantExtension	Participant Extension
extension		3..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:type		1..1	Extension	Type de participation
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
extension:party	C	1..1	Extension	Identification du participant Constraints: comp-3
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
extension:basedOn		0..*	BasedOn(5.2.0)	Fulfills plan, proposal or order
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
identifier		1..1	Identifier	Identifiant lot de versions
status	S	1..1	code	Statut du document
type		1..1	CodeableConcept	Type de document
subject		1..1	Reference(FR Patient INS Document | FR Patient Document)	Patient / Usager
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	S	1..1	Reference(FR Encounter Care Document)	Context of the Composition
date		1..1	dateTime	Date de création
author		1..*	Reference(FR PractitionerRole Document | FR Patient INS Document | FR Patient Document | FR Device Document)	Auteur du document
extension		1..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
title		1..1	string	Titre du document CDA
confidentiality	S	1..1	code	Niveau de confidentialité
attester		1..*	BackboneElement	Attests to accuracy of composition
Slices pour attester				Contenu/Règles pour toutes les slices
attester:legal_attester		1..1	BackboneElement	Responsable du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
custodian		1..1	Reference(FR Organization Document)	Structure chargée de la conservation du document
relatesTo		1..*	BackboneElement	Document de référence
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document)
Slices pour target[x]				Contenu/Règles pour toutes les slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices pour relatesTo				Contenu/Règles pour toutes les slices
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
Slices pour target[x]				Contenu/Règles pour toutes les slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
Slices pour target[x]				Contenu/Règles pour toutes les slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
code		1..1	code	replaces | transforms | signs | appends Motif requis: transforms
Slices pour event		1..*	BackboneElement	The clinical service(s) being documented Slice: Non ordonné, Ouvert par value:$this
event:Toutes les slices				Contenu/Règles pour toutes les slices
Slices pour extension		0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		0..1	Reference(FR PractitionerRole Document)	Exécutant de l’évènement documenté URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
period		0..1	Period	Date et heure de l’évènement documenté
detail		0..1	Reference(Resource)	The event(s) being documented
event:principalEvent		1..1	BackboneElement	Evènement documenté principal
extension		1..*	Extension	Extension
Slices pour extension				Contenu/Règles pour toutes les slices
extension:performer		1..1	Reference(FR PractitionerRole Document)	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
period		1..1	Period	Date et heure de l’évènement documenté
section		1..*	BackboneElement	Composition is broken into sections Slice: Non ordonné, Ouvert par value:code
Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📦0.1.0	cet IG
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📦20210326120000	Terminologies de Santé v1.4
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📦20250523120000	Terminologies de Santé v1.4

Contraintes

Id	Grade	Chemin(s)	Description	Expression
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')

Snapshot View

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Composition	C	0..*	ClinicalDocumentComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices pour profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Motif requis: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text	S	0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:R5-Composition-version	SC	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: comp-1
extension:data-enterer	S	0..1	(Complexe)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : opérateur de saisie
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : ENT
display		1..1	string	Representation defined by the system Valeur fixe : data entry person
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		1..1	Extension	Date de la saisie
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant	S	0..*	(Complexe)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : Informateur
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
Slices pour value[x]		1..1	CodeableConcept	Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : INF
display		1..1	string	Representation defined by the system Valeur fixe : informant
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document | FR RelatedPerson Document | FR Patient INS Document | FR Patient Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient	S	0..*	(Complexe)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		2..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation : destinataire
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FR ValueSet Participation Type (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complexe)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		3..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:type		1..1	Extension	Type de participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: comp-3
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent	S	0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension
extension:basedOn	S	0..*	(Complexe)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Non ordonné, Ouvert par value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made	S	0..1	(Complexe)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade
Slices pour modifierExtension	?!	0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
modifierExtension:R5-Composition-status	?!S	0..1	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices pour category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Non ordonné, Ouvert par value:text Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	SΣ	1..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : 107903-7
display		1..1	string	Representation defined by the system Valeur fixe : Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document | FR Patient Document)	Patient / Usager
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference	SΣC	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	SΣ	1..1	Reference(FR Encounter Care Document)	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document | FR Patient INS Document | FR Patient Document | FR Device Document)	Auteur du document
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
reference	ΣC	0..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
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices pour attester	S	1..*	BackboneElement	Attests to accuracy of composition Slice: Non ordonné, Ouvert par value:mode
attester:Toutes les slices				Contenu/Règles pour toutes les 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
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legal_attester	S	1..1	BackboneElement	Responsable du document
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. Motif requis: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
attester:professional_attester	S	0..*	BackboneElement	Professionnel attestant la validité du contenu du document
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. Motif requis: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document)	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document)	Structure chargée de la conservation du document
Slices pour relatesTo	S	1..*	BackboneElement	Document de référence Slice: Non ordonné, Ouvert par value:code, type:target
relatesTo:Toutes les slices				Contenu/Règles pour toutes les 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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Fermé par type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:replaced_document	S	0..1	BackboneElement	The document(s) being superceded
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. Motif requis: replaces
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:appended_document	S	0..*	BackboneElement	The document(s) being appended too
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Motif requis: appends
Slices pour target[x]		1..1	Identifier	Target of the relationship Slice: Non ordonné, Fermé par type:$this
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:transformed_document	S	0..1	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. Motif requis: transforms
Slices pour target[x]		1..1		Target of the relationship Slice: Non ordonné, Ouvert par type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices pour event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Non ordonné, Ouvert par value:$this
event:Toutes les slices				Contenu/Règles pour toutes les slices
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		0..1	Reference(FR PractitionerRole Document)	Exécutant de l’évènement documenté URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
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	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		1..*	Extension	Extension Slice: Non ordonné, Ouvert par value:url
extension:performer		1..1	Reference(FR PractitionerRole Document)	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension
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	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Non ordonné, Ouvert par value:code Constraints: cmp-1, cmp-2
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Composition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	Std. FHIR
Composition.meta.tag	Base	example	Common Tags	📍4.0.1	Std. FHIR
Composition.language	Base	preferred	Common Languages	📦4.0.1	Std. FHIR
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📦0.1.0	cet IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📦20210326120000	Terminologies de Santé v1.4
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📦20250523120000	Terminologies de Santé v1.4
Composition.status	Base	required	CompositionStatus	📍4.0.1	Std. FHIR
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	Std. FHIR
Composition.category	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📦4.0.1	Std. FHIR
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	Std. FHIR
Composition.author.type	Base	extensible	ResourceType	📍4.0.1	Std. FHIR
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	Std. FHIR
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	Std. FHIR
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	Std. FHIR
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	Std. FHIR
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	Std. FHIR
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.0
Composition.event:principalEvent.​code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.0

Contraintes

Id	Grade	Chemin(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
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()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
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	bonne pratique	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**TOUS** les éléments	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**TOUTES** les extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ClinicalDocumentComposition

Résumé

Obligatoire : 20 éléments(11 éléments obligatoire(s) imbriqué(s))
Must-Support : 4 éléments

Structures

Cette structure fait référence à ces autres structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document)
• FR RelatedPerson Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-related-person-document)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document)
• FR Patient Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document)
• FR Encounter Care Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-encounter-care-document)
• FR Device Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-device-auteur-document)
• FR Organization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document)
• FR Composition Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document)

Extensions

Cette structure fait référence à ces extensions:

• https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension
• https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension

Slices

Cette structure définit les slices suivantes:

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