Composition

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: { "title": "Plan of treatment (narrative)", "code": { "text": "Use this section as the body of your text", "coding": [ { "system": "http://loinc.org", "code": "18776-5", "display": "Plan of treatment (narrative)", } { "title": "Instructions", "code": { "text": "Use this section to communicate notes from the transcriptionist to the end user", "coding": [ { "system": "http://loinc.org", "code": "69730-0", "display": "Instructions" }

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