# FR Composition Document - ANS IG document core v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **FR Composition Document**

## Resource Profile: FR Composition Document 

| | |
| :--- | :--- |
| *Official URL*:https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document | *Version*:0.1.0 |
| Draft as of 2025-12-15 | *Computable Name*:FRCompositionDocument |

 
Ce profil est utilisé pour représenter un document médical. 

**Utilisations:**

* Utiliser ce Profil: [FR Bundle Document](StructureDefinition-fr-bundle-document.md)
* Référer à ce Profil: [FR Composition Document](StructureDefinition-fr-composition-document.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/ans.document.fr.core|current/StructureDefinition/fr-composition-document)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-fr-composition-document.csv), [Excel](StructureDefinition-fr-composition-document.xlsx), [Schematron](StructureDefinition-fr-composition-document.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "fr-composition-document",
  "url" : "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document",
  "version" : "0.1.0",
  "name" : "FRCompositionDocument",
  "title" : "FR Composition Document",
  "status" : "draft",
  "date" : "2025-12-15T10:54:30+00:00",
  "publisher" : "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
  "contact" : [
    {
      "name" : "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://esante.gouv.fr"
        }
      ]
    }
  ],
  "description" : "Ce profil est utilisé pour représenter un document médical.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "FR",
          "display" : "FRANCE"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    },
    {
      "identity" : "fhirdocumentreference",
      "uri" : "http://hl7.org/fhir/documentreference",
      "name" : "FHIR DocumentReference"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Composition",
  "baseDefinition" : "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Composition.meta.profile",
        "path" : "Composition.meta.profile",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "$this"
            }
          ],
          "description" : "Modèle du document et version du modèle",
          "rules" : "open"
        }
      },
      {
        "id" : "Composition.meta.profile:canonical",
        "path" : "Composition.meta.profile",
        "sliceName" : "canonical",
        "min" : 0,
        "max" : "1",
        "patternCanonical" : "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document"
      },
      {
        "id" : "Composition.language",
        "path" : "Composition.language",
        "min" : 1
      },
      {
        "id" : "Composition.extension",
        "path" : "Composition.extension",
        "min" : 1
      },
      {
        "id" : "Composition.extension:R5-Composition-version",
        "path" : "Composition.extension",
        "sliceName" : "R5-Composition-version",
        "short" : "Version du document",
        "min" : 1,
        "constraint" : [
          {
            "key" : "comp-1",
            "severity" : "error",
            "human" : "La valeur de l'extension versionNumber doit être un entier.",
            "expression" : "value.matches('^[0-9]+$')",
            "source" : "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document"
          }
        ]
      },
      {
        "id" : "Composition.extension:data-enterer",
        "path" : "Composition.extension",
        "sliceName" : "data-enterer"
      },
      {
        "id" : "Composition.extension:data-enterer.extension",
        "path" : "Composition.extension.extension",
        "min" : 3
      },
      {
        "id" : "Composition.extension:data-enterer.extension:type",
        "path" : "Composition.extension.extension",
        "sliceName" : "type",
        "short" : "Type de participation : opérateur de saisie",
        "max" : "1"
      },
      {
        "id" : "Composition.extension:data-enterer.extension:time",
        "path" : "Composition.extension.extension",
        "sliceName" : "time",
        "short" : "Date de la saisie",
        "min" : 1
      },
      {
        "id" : "Composition.extension:data-enterer.extension:party",
        "path" : "Composition.extension.extension",
        "sliceName" : "party",
        "short" : "Opérateur"
      },
      {
        "id" : "Composition.extension:data-enterer.extension:party.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.extension:informant",
        "path" : "Composition.extension",
        "sliceName" : "informant"
      },
      {
        "id" : "Composition.extension:informant.extension:type",
        "path" : "Composition.extension.extension",
        "sliceName" : "type",
        "short" : "Type de participation : Informateur",
        "max" : "1"
      },
      {
        "id" : "Composition.extension:informant.extension:party",
        "path" : "Composition.extension.extension",
        "sliceName" : "party",
        "short" : "Informateur"
      },
      {
        "id" : "Composition.extension:informant.extension:party.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-related-person-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.extension:information-recipient",
        "path" : "Composition.extension",
        "sliceName" : "information-recipient"
      },
      {
        "id" : "Composition.extension:information-recipient.extension:type",
        "path" : "Composition.extension.extension",
        "sliceName" : "type",
        "short" : "Type de participation : destinataire",
        "max" : "1"
      },
      {
        "id" : "Composition.extension:information-recipient.extension:type.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-doc-vs-participation-type"
        }
      },
      {
        "id" : "Composition.extension:information-recipient.extension:party",
        "path" : "Composition.extension.extension",
        "sliceName" : "party",
        "short" : "Destinataire"
      },
      {
        "id" : "Composition.extension:information-recipient.extension:party.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.extension:participant",
        "path" : "Composition.extension",
        "sliceName" : "participant"
      },
      {
        "id" : "Composition.extension:participant.extension",
        "path" : "Composition.extension.extension",
        "min" : 3
      },
      {
        "id" : "Composition.extension:participant.extension:type",
        "path" : "Composition.extension.extension",
        "sliceName" : "type",
        "short" : "Type de participation",
        "max" : "1"
      },
      {
        "id" : "Composition.extension:participant.extension:type.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://mos.esante.gouv.fr/NOS/JDV_J144-ParticipationType-CISIS/FHIR/JDV-J144-ParticipationType-CISIS"
        }
      },
      {
        "id" : "Composition.extension:participant.extension:function",
        "path" : "Composition.extension.extension",
        "sliceName" : "function",
        "short" : "Précision sur le rôle fonctionnel",
        "max" : "1"
      },
      {
        "id" : "Composition.extension:participant.extension:function.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://mos.esante.gouv.fr/NOS/JDV_J47-FunctionCode-CISIS/FHIR/JDV-J47-FunctionCode-CISIS"
        }
      },
      {
        "id" : "Composition.extension:participant.extension:time",
        "path" : "Composition.extension.extension",
        "sliceName" : "time",
        "short" : "Date de début et/ou de fin de la participation",
        "min" : 1
      },
      {
        "id" : "Composition.extension:participant.extension:party",
        "path" : "Composition.extension.extension",
        "sliceName" : "party",
        "short" : "Identification du participant",
        "constraint" : [
          {
            "key" : "comp-3",
            "severity" : "error",
            "human" : "La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.",
            "expression" : "value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')",
            "source" : "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document"
          }
        ]
      },
      {
        "id" : "Composition.extension:participant.extension:party.value[x]",
        "path" : "Composition.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.extension:basedOn",
        "path" : "Composition.extension",
        "sliceName" : "basedOn"
      },
      {
        "id" : "Composition.extension:basedOn.value[x]",
        "path" : "Composition.extension.value[x]",
        "short" : "Association du document à une prescription",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }
        ]
      },
      {
        "id" : "Composition.identifier",
        "path" : "Composition.identifier",
        "short" : "Identifiant lot de versions",
        "min" : 1
      },
      {
        "id" : "Composition.status",
        "path" : "Composition.status",
        "short" : "Statut du document",
        "mustSupport" : true
      },
      {
        "id" : "Composition.type",
        "path" : "Composition.type",
        "short" : "Type de document"
      },
      {
        "id" : "Composition.subject",
        "path" : "Composition.subject",
        "short" : "Patient / Usager",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.subject.reference",
        "path" : "Composition.subject.reference",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Composition.encounter",
        "path" : "Composition.encounter",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-encounter-care-document"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Composition.date",
        "path" : "Composition.date",
        "short" : "Date de création"
      },
      {
        "id" : "Composition.author",
        "path" : "Composition.author",
        "short" : "Auteur du document",
        "definition" : "author permet d’enregistrer un auteur du document. Un document peut avoir un ou plusieurs auteurs. Un professionnel de santé auteur d'un document est toujours dans une situation d'exercice donnée (FRPractitionerRoleDocument).",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-device-auteur-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.author.extension",
        "path" : "Composition.author.extension",
        "min" : 1
      },
      {
        "id" : "Composition.author.extension:time",
        "path" : "Composition.author.extension",
        "sliceName" : "time",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time-extension"
            ]
          }
        ]
      },
      {
        "id" : "Composition.title",
        "path" : "Composition.title",
        "short" : "Titre du document CDA",
        "definition" : "Les volets de contenus du CI-SIS fixent parfois le titre du document. Dans les autres cas, le titre provient soit de la saisie directe par le professionnel ou le patient/usager, soit d’une valeur par défaut générée par le logiciel et modifiable par le professionnel ou le patient/usager."
      },
      {
        "id" : "Composition.confidentiality",
        "path" : "Composition.confidentiality",
        "short" : "Niveau de confidentialité",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Composition.attester",
        "path" : "Composition.attester",
        "min" : 1
      },
      {
        "id" : "Composition.attester:legal_attester",
        "path" : "Composition.attester",
        "sliceName" : "legal_attester",
        "short" : "Responsable du document",
        "min" : 1
      },
      {
        "id" : "Composition.attester:legal_attester.time",
        "path" : "Composition.attester.time",
        "min" : 1
      },
      {
        "id" : "Composition.attester:legal_attester.party",
        "path" : "Composition.attester.party",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.attester:professional_attester",
        "path" : "Composition.attester",
        "sliceName" : "professional_attester",
        "short" : "Professionnel attestant la validité du contenu du document"
      },
      {
        "id" : "Composition.attester:professional_attester.time",
        "path" : "Composition.attester.time",
        "min" : 1
      },
      {
        "id" : "Composition.attester:professional_attester.party",
        "path" : "Composition.attester.party",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.custodian",
        "path" : "Composition.custodian",
        "short" : "Structure chargée de la conservation du document",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.relatesTo",
        "path" : "Composition.relatesTo",
        "short" : "Document de référence",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo.target[x]",
        "path" : "Composition.relatesTo.target[x]",
        "type" : [
          {
            "code" : "Identifier"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document"
            ]
          }
        ]
      },
      {
        "id" : "Composition.relatesTo.target[x]:targetIdentifier",
        "path" : "Composition.relatesTo.target[x]",
        "sliceName" : "targetIdentifier",
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "Composition.relatesTo.target[x]:targetIdentifier.type",
        "path" : "Composition.relatesTo.target[x].type",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo.target[x]:targetIdentifier.system",
        "path" : "Composition.relatesTo.target[x].system",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo.target[x]:targetIdentifier.value",
        "path" : "Composition.relatesTo.target[x].value",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo:replaced_document",
        "path" : "Composition.relatesTo",
        "sliceName" : "replaced_document",
        "max" : "1"
      },
      {
        "id" : "Composition.relatesTo:replaced_document.target[x]:targetIdentifier",
        "path" : "Composition.relatesTo.target[x]",
        "sliceName" : "targetIdentifier",
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type",
        "path" : "Composition.relatesTo.target[x].type",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo:appended_document",
        "path" : "Composition.relatesTo",
        "sliceName" : "appended_document"
      },
      {
        "id" : "Composition.relatesTo:appended_document.target[x]:targetIdentifier",
        "path" : "Composition.relatesTo.target[x]",
        "sliceName" : "targetIdentifier",
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "Composition.relatesTo:appended_document.target[x]:targetIdentifier.type",
        "path" : "Composition.relatesTo.target[x].type",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo:appended_document.target[x]:targetIdentifier.system",
        "path" : "Composition.relatesTo.target[x].system",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo:appended_document.target[x]:targetIdentifier.value",
        "path" : "Composition.relatesTo.target[x].value",
        "min" : 1
      },
      {
        "id" : "Composition.relatesTo:transformed_document",
        "path" : "Composition.relatesTo",
        "sliceName" : "transformed_document",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Composition.relatesTo:transformed_document.code",
        "path" : "Composition.relatesTo.code",
        "patternCode" : "transforms"
      },
      {
        "id" : "Composition.event",
        "path" : "Composition.event",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Composition.event.extension",
        "path" : "Composition.event.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "Composition.event.extension:performer",
        "path" : "Composition.event.extension",
        "sliceName" : "performer",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension"
            ]
          }
        ]
      },
      {
        "id" : "Composition.event.period",
        "path" : "Composition.event.period",
        "short" : "Date et heure de l’évènement documenté"
      },
      {
        "id" : "Composition.event.detail",
        "path" : "Composition.event.detail",
        "max" : "1"
      },
      {
        "id" : "Composition.event:principalEvent",
        "path" : "Composition.event",
        "sliceName" : "principalEvent",
        "short" : "Evènement documenté principal",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Composition.event:principalEvent.extension",
        "path" : "Composition.event.extension",
        "min" : 1
      },
      {
        "id" : "Composition.event:principalEvent.extension:performer",
        "path" : "Composition.event.extension",
        "sliceName" : "performer",
        "short" : "Exécutant de l'évènement documenté principal",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event-extension"
            ]
          }
        ]
      },
      {
        "id" : "Composition.event:principalEvent.period",
        "path" : "Composition.event.period",
        "min" : 1
      },
      {
        "id" : "Composition.section",
        "path" : "Composition.section",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "definition" : "La ressource Composition est structurée en différentes sections."
      }
    ]
  }
}

```
