Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	醫療影像及報告Composition
identifier	S	0..1	Identifier	不論版本號的Composition文件識別碼
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Composition的種類
coding		1..1	Coding	專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18782-3
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study observation (narrative)
subject	S	1..1	Reference(Patient)	Composition所記錄的對象或事物，通常指人（如數位證明持有人或醫療從業人員），但也可能指設備或一群人。
encounter		0..1	Reference(Encounter)	Composition的情境
date	S	1..1	dateTime	Composition編輯時間
author	S	1..1	Reference(Organization)	什麼機構撰寫此醫療影像及報告
title	S	1..1	string	醫療影像及報告
attester	S	0..1	BackboneElement	證明Composition的準確性
time	S	0..1	dateTime	Composition何時被證明
party	S	1..1	Reference(Organization)	誰證明這個Composition
section		0..*	BackboneElement	Section的標籤（例如：目錄）
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
coding		1..*	Coding	Code defined by a terminology system
text	S	0..1	Narrative	Section的摘要，供人解讀。
Slices for entry		5..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve(), type:resolve()
entry:Practitioner		1..1	Reference(Practitioner)	支援這個section的資料之參照
entry:Condition		1..1	Reference(Condition)	支援這個section的資料之參照
entry:Observation		1..1	Reference(Observation Imaging result)	支援這個section的資料之參照
entry:DiagnosticReport		1..1	Reference(DiagnosticReport Image)	支援這個section的資料之參照
entry:ImagingStudy		0..1	Reference(ImagingStudy)	支援這個section的資料之參照
entry:Media		0..1	Reference(Media)	支援這個section的資料之參照
entry:Endpoint		0..1	Reference(Endpoint)	支援這個section的資料之參照
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	醫療影像及報告Composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	不論版本號的Composition文件識別碼
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Composition的種類 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
coding	Σ	1..1	Coding	專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18782-3
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study observation (narrative)
subject	SΣ	1..1	Reference(Patient)	Composition所記錄的對象或事物，通常指人（如數位證明持有人或醫療從業人員），但也可能指設備或一群人。
encounter	Σ	0..1	Reference(Encounter)	Composition的情境
date	SΣ	1..1	dateTime	Composition編輯時間
author	SΣ	1..1	Reference(Organization)	什麼機構撰寫此醫療影像及報告
title	SΣ	1..1	string	醫療影像及報告
attester	S	0..1	BackboneElement	證明Composition的準確性
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Composition何時被證明
party	S	1..1	Reference(Organization)	誰證明這個Composition
section	C	0..*	BackboneElement	Section的標籤（例如：目錄） cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
coding	Σ	1..*	Coding	Code defined by a terminology system
text	SC	0..1	Narrative	Section的摘要，供人解讀。
Slices for entry	C	5..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve(), type:resolve()
entry:Practitioner	C	1..1	Reference(Practitioner)	支援這個section的資料之參照
entry:Condition	C	1..1	Reference(Condition)	支援這個section的資料之參照
entry:Observation	C	1..1	Reference(Observation Imaging result)	支援這個section的資料之參照
entry:DiagnosticReport	C	1..1	Reference(DiagnosticReport Image)	支援這個section的資料之參照
entry:ImagingStudy	C	0..1	Reference(ImagingStudy)	支援這個section的資料之參照
entry:Media	C	0..1	Reference(Media)	支援這個section的資料之參照
entry:Endpoint	C	0..1	Reference(Endpoint)	支援這個section的資料之參照
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	example	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	醫療影像及報告Composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	不論版本號的Composition文件識別碼
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Composition的種類 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18782-3
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study observation (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Composition所記錄的對象或事物，通常指人（如數位證明持有人或醫療從業人員），但也可能指設備或一群人。
encounter	Σ	0..1	Reference(Encounter)	Composition的情境
date	SΣ	1..1	dateTime	Composition編輯時間
author	SΣ	1..1	Reference(Organization)	什麼機構撰寫此醫療影像及報告
title	SΣ	1..1	string	醫療影像及報告
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	0..1	BackboneElement	證明Composition的準確性
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Composition何時被證明
party	S	1..1	Reference(Organization)	誰證明這個Composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Section的標籤（例如：目錄） cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Section的摘要，供人解讀。
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	5..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve(), type:resolve()
entry:Practitioner	C	1..1	Reference(Practitioner)	支援這個section的資料之參照
entry:Condition	C	1..1	Reference(Condition)	支援這個section的資料之參照
entry:Observation	C	1..1	Reference(Observation Imaging result)	支援這個section的資料之參照
entry:DiagnosticReport	C	1..1	Reference(DiagnosticReport Image)	支援這個section的資料之參照
entry:ImagingStudy	C	0..1	Reference(ImagingStudy)	支援這個section的資料之參照
entry:Media	C	0..1	Reference(Media)	支援這個section的資料之參照
entry:Endpoint	C	0..1	Reference(Endpoint)	支援這個section的資料之參照
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

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

Summary

Mandatory: 2 elements(7 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (https://hapi.fhir.tw/fhir/StructureDefinition/TWCorePatient)
• Encounter (https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreEncounter)
• Organization (https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreOrganization)
• Practitioner (https://hapi.fhir.tw/fhir/StructureDefinition/TWCorePractitioner)
• Condition (https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreCondition)
• Observation Imaging result (https://hapi.fhir.tw/fhir/StructureDefinition/Observation-Imaging-Result)
• DiagnosticReport Image (https://hapi.fhir.tw/fhir/StructureDefinition/DiagnosticReport-Image)
• ImagingStudy (https://hapi.fhir.tw/fhir/StructureDefinition/ImagingStudyBase)
• Media (https://hapi.fhir.tw/fhir/StructureDefinition/MediaBase)
• Endpoint (https://hapi.fhir.tw/fhir/StructureDefinition/MitwEndpoint)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Composition.section.entry

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	醫療影像及報告Composition
identifier	S	0..1	Identifier	不論版本號的Composition文件識別碼
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Composition的種類
coding		1..1	Coding	專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18782-3
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study observation (narrative)
subject	S	1..1	Reference(Patient)	Composition所記錄的對象或事物，通常指人（如數位證明持有人或醫療從業人員），但也可能指設備或一群人。
encounter		0..1	Reference(Encounter)	Composition的情境
date	S	1..1	dateTime	Composition編輯時間
author	S	1..1	Reference(Organization)	什麼機構撰寫此醫療影像及報告
title	S	1..1	string	醫療影像及報告
attester	S	0..1	BackboneElement	證明Composition的準確性
time	S	0..1	dateTime	Composition何時被證明
party	S	1..1	Reference(Organization)	誰證明這個Composition
section		0..*	BackboneElement	Section的標籤（例如：目錄）
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
coding		1..*	Coding	Code defined by a terminology system
text	S	0..1	Narrative	Section的摘要，供人解讀。
Slices for entry		5..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve(), type:resolve()
entry:Practitioner		1..1	Reference(Practitioner)	支援這個section的資料之參照
entry:Condition		1..1	Reference(Condition)	支援這個section的資料之參照
entry:Observation		1..1	Reference(Observation Imaging result)	支援這個section的資料之參照
entry:DiagnosticReport		1..1	Reference(DiagnosticReport Image)	支援這個section的資料之參照
entry:ImagingStudy		0..1	Reference(ImagingStudy)	支援這個section的資料之參照
entry:Media		0..1	Reference(Media)	支援這個section的資料之參照
entry:Endpoint		0..1	Reference(Endpoint)	支援這個section的資料之參照
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	醫療影像及報告Composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	不論版本號的Composition文件識別碼
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Composition的種類 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
coding	Σ	1..1	Coding	專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18782-3
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study observation (narrative)
subject	SΣ	1..1	Reference(Patient)	Composition所記錄的對象或事物，通常指人（如數位證明持有人或醫療從業人員），但也可能指設備或一群人。
encounter	Σ	0..1	Reference(Encounter)	Composition的情境
date	SΣ	1..1	dateTime	Composition編輯時間
author	SΣ	1..1	Reference(Organization)	什麼機構撰寫此醫療影像及報告
title	SΣ	1..1	string	醫療影像及報告
attester	S	0..1	BackboneElement	證明Composition的準確性
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Composition何時被證明
party	S	1..1	Reference(Organization)	誰證明這個Composition
section	C	0..*	BackboneElement	Section的標籤（例如：目錄） cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
coding	Σ	1..*	Coding	Code defined by a terminology system
text	SC	0..1	Narrative	Section的摘要，供人解讀。
Slices for entry	C	5..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve(), type:resolve()
entry:Practitioner	C	1..1	Reference(Practitioner)	支援這個section的資料之參照
entry:Condition	C	1..1	Reference(Condition)	支援這個section的資料之參照
entry:Observation	C	1..1	Reference(Observation Imaging result)	支援這個section的資料之參照
entry:DiagnosticReport	C	1..1	Reference(DiagnosticReport Image)	支援這個section的資料之參照
entry:ImagingStudy	C	0..1	Reference(ImagingStudy)	支援這個section的資料之參照
entry:Media	C	0..1	Reference(Media)	支援這個section的資料之參照
entry:Endpoint	C	0..1	Reference(Endpoint)	支援這個section的資料之參照
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	example	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	醫療影像及報告Composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	不論版本號的Composition文件識別碼
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Composition的種類 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18782-3
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study observation (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Composition所記錄的對象或事物，通常指人（如數位證明持有人或醫療從業人員），但也可能指設備或一群人。
encounter	Σ	0..1	Reference(Encounter)	Composition的情境
date	SΣ	1..1	dateTime	Composition編輯時間
author	SΣ	1..1	Reference(Organization)	什麼機構撰寫此醫療影像及報告
title	SΣ	1..1	string	醫療影像及報告
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	0..1	BackboneElement	證明Composition的準確性
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Composition何時被證明
party	S	1..1	Reference(Organization)	誰證明這個Composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Section的標籤（例如：目錄） cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Section的摘要，供人解讀。
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	5..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve(), type:resolve()
entry:Practitioner	C	1..1	Reference(Practitioner)	支援這個section的資料之參照
entry:Condition	C	1..1	Reference(Condition)	支援這個section的資料之參照
entry:Observation	C	1..1	Reference(Observation Imaging result)	支援這個section的資料之參照
entry:DiagnosticReport	C	1..1	Reference(DiagnosticReport Image)	支援這個section的資料之參照
entry:ImagingStudy	C	0..1	Reference(ImagingStudy)	支援這個section的資料之參照
entry:Media	C	0..1	Reference(Media)	支援這個section的資料之參照
entry:Endpoint	C	0..1	Reference(Endpoint)	支援這個section的資料之參照
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

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

Summary

Mandatory: 2 elements(7 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (https://hapi.fhir.tw/fhir/StructureDefinition/TWCorePatient)
• Encounter (https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreEncounter)
• Organization (https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreOrganization)
• Practitioner (https://hapi.fhir.tw/fhir/StructureDefinition/TWCorePractitioner)
• Condition (https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreCondition)
• Observation Imaging result (https://hapi.fhir.tw/fhir/StructureDefinition/Observation-Imaging-Result)
• DiagnosticReport Image (https://hapi.fhir.tw/fhir/StructureDefinition/DiagnosticReport-Image)
• ImagingStudy (https://hapi.fhir.tw/fhir/StructureDefinition/ImagingStudyBase)
• Media (https://hapi.fhir.tw/fhir/StructureDefinition/MediaBase)
• Endpoint (https://hapi.fhir.tw/fhir/StructureDefinition/MitwEndpoint)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Composition.section.entry