Others titles
- FHIR Composition Resource
- Electronic Health Records Exchange Through FHIR
Keywords
- FHIR
- HL7
- Medical Terminology
- Processes Data
- Processes Information
- Processes Documentation
- Health Information Exchange
- Electronic Health Records
- FHIR Smart
- Smart on FHIR
Composition
The Composition Resource is a set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle.
Get The Data
- ResearchNon-Commercial, Share-Alike, Attribution Free Forever
- CommercialCommercial Use, Remix & Adapt, White Label Log in to download
Description
A Composition is a basic structure from which FHIR Documents – immutable bundles with attested narrative – are built. A single logical composition may be associated with a series of derived documents, each of which is a frozen copy of the composition.
A Composition is a structure for grouping information for purposes of persistence and attestability. There are several other grouping structures in FHIR with distinct purposes:
The List resource – enumerates a flat collection of resources and provides features for managing the collection. While a particular List instance may represent a “snapshot”, from a business process perspective, the notion of “list” is dynamic – items are added and removed over time. The List resource references other resources. Lists may be curated and have specific business meaning.
The Group resource – defines a group of specific people, animals, devices, etc. by enumerating them, or by describing qualities that group members have. The Group resource refers to other resources, possibly implicitly. Groups are intended to be acted upon or observed as a whole (e.g., performing therapy on a group, calculating risk for a group, etc.). This resource will commonly be used for public health (e.g., describing an at-risk population), clinical trials (e.g., defining a test subject pool) and similar purposes.
The Bundle resource – is an infrastructure container for a group of resources. It does not have narrative and is used to group collections of resources for transmission, persistence or processing (e.g., messages, documents, transactions, query responses, etc.). The content of bundles is typically algorithmically determined for a particular exchange or persistence purpose.
The Composition resource – defines a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. The Composition resource provides the basic structure of a FHIR document. The full content of the document is expressed using a Bundle containing the Composition and its entries.
The Composition resource organizes clinical and administrative content into sections, each of which contains a narrative, and references other resources for supporting data. The narrative content of the various sections in a Composition are supported by the resources referenced in the section entries. The complete set of content to make up a document includes the Composition resource together with various resources pointed to or indirectly connected to the Composition, all gathered together into a Bundle for transport and persistence. Resources associated with the following list of Composition references SHALL be included in the Bundle:
– Composition.subject
– Composition.encounter
– Composition.author
– Composition.attester.party
– Composition.custodian
– Composition.event.detail
– Composition.section.author
– Composition.section.focus
– Composition.section.entry
Other resources referred to by those resources MAY be included in the Bundle at the discretion of the authoring system as documented in the system’s operation definition (such as $document operation), or as specified by any applicable profiles.
Fast Healthcare Interoperability Resources (FHIR) is a draft standard describing data formats and elements (known as “resources”) and an application programming interface (API) for exchanging electronic health records. The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Its goal is to facilitate interoperation between legacy healthcare systems, to make it easy to provide healthcare information to healthcare providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be easily integrated into existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data elements as services. For example, basic elements of healthcare like patients, admissions, diagnostic reports and medications can each be retrieved and manipulated via their own resource URLs (Uniform Resource Locators). FHIR was supported at an American Medical Informatics Association meeting by many EHR (Electronic Health Record) vendors which value its open and extensible nature.
About this Dataset
Data Info
Date Created | 2018-09-20 |
---|---|
Last Modified | 2023-03-26 |
Version | 5.0.0 |
Update Frequency |
Annual |
Temporal Coverage |
N/A |
Spatial Coverage |
United States |
Source | John Snow Labs; Health Level Seven International; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR |
Other Titles | FHIR Composition Resource, Electronic Health Records Exchange Through FHIR |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Concept_Name | Name of the concept in the FHIR structure | string | required : 1 |
Computer_Ready_Name | A Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this. | string | - |
Type | The type the structure describes. | string | - |
Dollar_Ref | The Dollar_Ref ($ref) string value contains a Uniform Resource Identifier (URI) which identifies the location of the JSON (JavaScript Object Notation) value being referenced. | string | - |
Description | A free text natural language description of the structure and its use | string | - |
Items | The value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value. | string | - |
Enum | The enum is used to restrict a value to a fixed set of values. It must be an array with at least one element, where each element is unique. | string | - |
Required | The value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value. | string | - |
Const | The value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword. | string | - |
Data Preview
Concept Name | Computer Ready Name | Type | Dollar Ref | Description | Items | Enum | Required | Const |
Composition | resourceType | This is a Composition resource | Composition | |||||
Composition | id | #/definitions/id | The logical id of the resource | |||||
Composition | meta | #/definitions/Meta | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | |||||
Composition | implicitRules | #/definitions/uri | A reference to a set of rules that were followed when the resource was constructed | |||||
Composition | _implicitRules | #/definitions/Element | Extensions for implicitRules | |||||
Composition | language | #/definitions/code | The base language in which the resource is written. | |||||
Composition | _language | #/definitions/Element | Extensions for language | |||||
Composition | text | #/definitions/Narrative | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data | |||||
Composition | contained | array | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently | |||||
Composition | extension | array | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable |