Base profile: https://www.hl7.org/fhir/composition.html
Currently, the Composition resource is used to facilitate inbound transcription. While its functionality is limited for now, additional capabilities will be introduced in future releases, so stay tuned for updates.
Basic Functionality:
- The Composition resource allows text to be added either to the Additional Visit Notes section of an in-progress visit or, if no visit is in progress, a Chart Note can be created for the patient.
- In both scenarios, the end user will be presented with a reconciliation interface to review and edit the text before it is incorporated into the note.
Key Considerations:
- To add text to an in-progress visit, you must provide the encounter reference.
- If there is no encounter or if the referenced encounter has a status of "finished," the Visit Note can no longer be edited.
- In such cases, when there is no encounter or the encounter is marked as "finished," the system will automatically create a new Chart Note for the patient.
The following attributes are supported:
| Field Name | Notes |
|---|---|
| status | preliminary - this is the only supported value at this time |
| type | { "system": "http://loinc.org", "code": "11488-4", "display": "Consult note" } this is the only supported type at this time |
| category | { "system": "http://loinc.org", "code": "LP173421-1", "display": "Report" } this is the only supported category at this time |
| subject | reference to Patient |
| encounter | reference to Encounter |
| date | datetime |
| author | reference to the Practitioner |
| title | This is a string which will become the Title of the Chart Note. |
| section | 2 Sections are currently supported: { { |
The Following Operations are supported:
- Composition CREATE
The following attributes are required:
| Name | Type | Description |
|---|---|---|
| status * | code | preliminary is the only supported value at this time |
| type * | code | { "system": "http://loinc.org", "code": "11488-4", "display": "Consult note" } this is the only supported type at this time |
| category * | code | { "system": "http://loinc.org", "code": "LP173421-1", "display": "Report" } this is the only supported category at this time |
| subject * | reference | Patient Reference |
| date* | datetime | datetime |
| author * | reference | Practitioner Reference |