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Composition Note Setup Extension

Canonical../StructureDefinition/composition-note-setup
Statusdraft · 1.26.0
BaseExtension (constraint)
ContextComposition (element)
SourceFSH · JSON

The editor setup an encounter note was opened on: the visit type the provider chose, and the template the note started from. Present so that a draft reopens on the footing it was left on rather than as a blank note.

Elements / Details

Every element this profile touches, with its full definition. Element names in the tables link here.

Extension

Short Composition Note Setup Extension
Definition The editor setup an encounter note was opened on: the visit type the provider chose, and the template the note started from. Present so that a draft reopens on the footing it was left on rather than as a blank note. Both parts or neither. A reader that finds only one of the two has no usable setup -- a template without its visit type cannot be offered again, and a visit type without its template does not say what the note started as -- so both sub-extensions are required when the extension is present. The extension itself is optional and is absent on notes written before it existed. It records what the note was OPENED FROM, not what it contains. A provider may switch templates mid-note, delete every heading the template gave, or type their own. The authoritative structure of a note is always Composition.section; this element is editor state, and a consumer reconstructing the note's content from the template code rather than from the sections will be wrong. The two vocabularies are separate systems, and the template one is NOT the stored template registry. encounter-note-template names the fixed catalogue of note structures compiled into the application. CodeSystem/nexus-template is a different value space -- the per-tenant slugs of template List resources, which a letter carries on meta.tag to say which stored template it was composed from. Both are kebab-case slugs and they are not interchangeable. Both bindings are extensible, deliberately. Each set is closed in the application today, but a required binding would make this guide a release gate on the note editor: ship a template and every note carrying one is nonconformant until the guide cuts a release. A reader that meets an unrecognised code MUST write it back unchanged; normalising it destroys the record of what the provider actually started from. FIRST PASS. This extension is declared from its production shape rather than from a modelling pass. See the file comment for the canonical it publishes under and why that is not the URL the software writes today. MIGRATION. Nexus EMR writes this extension today at http://services.well.com/fhir/StructureDefinition/composition-note-setup. That address is live in stored notes and in code, and is under migration to the canonical declared here (FHIR-370). Write the canonical; when reading, match on the URL suffix composition-note-setup so that notes filed under either address are seen.
Cardinality 0..*
Invariants ele-1, ext-1

Extension.id

Short Unique id for inter-element referencing
Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality 0..1
Type http://hl7.org/fhirpath/System.String

Extension.extension

Short Additional content defined by implementations
Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality 2..*
Type Extension
Invariants ele-1, ext-1
Also called extensions, user content

Extension.extension:visitType

Short The visit type the note was opened on
Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality 1..1
Type Extension
Must Support yes
Invariants ele-1, ext-1
Also called extensions, user content

Extension.extension:visitType.id

Short Unique id for inter-element referencing
Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality 0..1
Type http://hl7.org/fhirpath/System.String

Extension.extension:visitType.extension

Short Additional content defined by implementations
Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality 0..0
Type Extension
Invariants ele-1, ext-1
Also called extensions, user content

Extension.extension:visitType.url

Short identifies the meaning of the extension
Definition Source of the definition for the extension code - a logical name or a URL.
Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality 1..1
Type http://hl7.org/fhirpath/System.String
Fixed value visitType

Extension.extension:visitType.value[x]

Short Value of extension
Definition The visit type the provider chose before writing, which is what selects the templates offered. It is NOT Encounter.class and makes no claim about the care setting. Required alongside template: a template without its visit type cannot be offered again.
Cardinality 1..1
Type code
Must Support yes
Binding Encounter Visit Types (extensible)
Invariants ele-1

Extension.extension:template

Short The template the note was opened from
Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality 1..1
Type Extension
Must Support yes
Invariants ele-1, ext-1
Also called extensions, user content

Extension.extension:template.id

Short Unique id for inter-element referencing
Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality 0..1
Type http://hl7.org/fhirpath/System.String

Extension.extension:template.extension

Short Additional content defined by implementations
Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality 0..0
Type Extension
Invariants ele-1, ext-1
Also called extensions, user content

Extension.extension:template.url

Short identifies the meaning of the extension
Definition Source of the definition for the extension code - a logical name or a URL.
Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality 1..1
Type http://hl7.org/fhirpath/System.String
Fixed value template

Extension.extension:template.value[x]

Short Value of extension
Definition The template the note started from, naming a structure in the application's note catalogue -- NOT a slug in the stored template registry that CodeSystem/nexus-template names. It records what the note was opened from and not what it now contains: the authoritative structure is Composition.section.
Cardinality 1..1
Type code
Must Support yes
Binding Encounter Note Templates (extensible)
Invariants ele-1

Extension.url

Short identifies the meaning of the extension
Definition Source of the definition for the extension code - a logical name or a URL.
Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality 1..1
Type http://hl7.org/fhirpath/System.String
Fixed value ../StructureDefinition/composition-note-setup

Extension.value[x]

Short Value of extension
Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality 0..0
Type 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
Invariants ele-1