HL7 FHIR Costa Rica - Reportes de Imágenes Médicas, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/imaging-report/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: CR Composition - Imaging Report

Composición para el documento de reporte de imágenes médicas en Costa Rica. Contiene el texto narrativo estructurado del reporte.

Usages:

• Examples for this Profile: Composition/composition-xray-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(5.0.0)	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:impression	S	0..*	Reference(Observation | Condition)	Impresión radiológica del reporte URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression Constraints: ext-1
extension:recommendation	S	0..*	Reference(CarePlan | ServiceRequest)	Recomendaciones derivadas del estudio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation Constraints: ext-1
extension:patientHistory	S	0..*	Reference(Observation)	Historial relevante del paciente URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 72134-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Practitioner | Device)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	0..*	Reference(ImagingStudy | Observation)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	Composition Status	📍5.0.0	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
Composition.section.​code	Base	extensible	https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Composition.implicitRules, Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.type, Composition.subject, Composition.date, Composition.author, Composition.title, Composition.section, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.text, Composition.section.entry	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(5.0.0)	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:impression	S	0..*	Reference(Observation | Condition)	Impresión radiológica del reporte URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
extension:recommendation	S	0..*	Reference(CarePlan | ServiceRequest)	Recomendaciones derivadas del estudio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
extension:patientHistory	S	0..*	Reference(Observation)	Historial relevante del paciente URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
identifier		0..1	Identifier	Version-independent identifier for the Composition
status	S	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) 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: 72134-0
subject	S	1..1	Reference(Patient)	Who and/or what the composition is about
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(Practitioner | Device)	Who and/or what authored the composition
title	S	1..1	string	Human Readable name/title
section	S	1..*	BackboneElement	Composition is broken into sections
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
text	S	1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(ImagingStudy | Observation)	A reference to data that supports this section
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.section.​code	Base	extensible	https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes	Not State	Unknown

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(5.0.0)	A set of resources composed into a single coherent clinical statement with clinical attestation
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:impression	S	0..*	Reference(Observation | Condition)	Impresión radiológica del reporte URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression Constraints: ext-1
extension:recommendation	S	0..*	Reference(CarePlan | ServiceRequest)	Recomendaciones derivadas del estudio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation Constraints: ext-1
extension:patientHistory	S	0..*	Reference(Observation)	Historial relevante del paciente URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 72134-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	SΣ	1..*	Reference(Practitioner | Device)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	SΣ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
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	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(ImagingStudy | Observation)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Composition.status	Base	required	Composition Status	📍5.0.0	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
Composition.category	Base	example	Referenced Item Category Value Set	📍5.0.0	FHIR Std.
Composition.attester.​mode	Base	preferred	Composition Attestation Mode	📍5.0.0	FHIR Std.
Composition.event.detail	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
Composition.section.​code	Base	extensible	https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes	Not State	Unknown
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍5.0.0	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.url, Composition.identifier, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.useContext, Composition.author, Composition.name, Composition.title, Composition.note, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.attester.extension, Composition.attester.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 5 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (http://hl7.org/fhir/StructureDefinition/Patient|5.0.0)
• Practitioner (http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0)
• Device (http://hl7.org/fhir/StructureDefinition/Device|5.0.0)
• ImagingStudy (http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0)
• Observation (http://hl7.org/fhir/StructureDefinition/Observation|5.0.0)

Extensions

This structure refers to these extensions:

• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(5.0.0)	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:impression	S	0..*	Reference(Observation | Condition)	Impresión radiológica del reporte URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression Constraints: ext-1
extension:recommendation	S	0..*	Reference(CarePlan | ServiceRequest)	Recomendaciones derivadas del estudio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation Constraints: ext-1
extension:patientHistory	S	0..*	Reference(Observation)	Historial relevante del paciente URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 72134-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Practitioner | Device)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	0..*	Reference(ImagingStudy | Observation)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	Composition Status	📍5.0.0	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
Composition.section.​code	Base	extensible	https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Composition.implicitRules, Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.type, Composition.subject, Composition.date, Composition.author, Composition.title, Composition.section, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.text, Composition.section.entry	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(5.0.0)	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:impression	S	0..*	Reference(Observation | Condition)	Impresión radiológica del reporte URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
extension:recommendation	S	0..*	Reference(CarePlan | ServiceRequest)	Recomendaciones derivadas del estudio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
extension:patientHistory	S	0..*	Reference(Observation)	Historial relevante del paciente URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
identifier		0..1	Identifier	Version-independent identifier for the Composition
status	S	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) 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: 72134-0
subject	S	1..1	Reference(Patient)	Who and/or what the composition is about
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(Practitioner | Device)	Who and/or what authored the composition
title	S	1..1	string	Human Readable name/title
section	S	1..*	BackboneElement	Composition is broken into sections
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
text	S	1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(ImagingStudy | Observation)	A reference to data that supports this section
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.section.​code	Base	extensible	https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes	Not State	Unknown

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(5.0.0)	A set of resources composed into a single coherent clinical statement with clinical attestation
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:impression	S	0..*	Reference(Observation | Condition)	Impresión radiológica del reporte URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression Constraints: ext-1
extension:recommendation	S	0..*	Reference(CarePlan | ServiceRequest)	Recomendaciones derivadas del estudio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation Constraints: ext-1
extension:patientHistory	S	0..*	Reference(Observation)	Historial relevante del paciente URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 72134-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	SΣ	1..*	Reference(Practitioner | Device)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	SΣ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
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	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(ImagingStudy | Observation)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Composition.status	Base	required	Composition Status	📍5.0.0	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
Composition.category	Base	example	Referenced Item Category Value Set	📍5.0.0	FHIR Std.
Composition.attester.​mode	Base	preferred	Composition Attestation Mode	📍5.0.0	FHIR Std.
Composition.event.detail	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
Composition.section.​code	Base	extensible	https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes	Not State	Unknown
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍5.0.0	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.url, Composition.identifier, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.useContext, Composition.author, Composition.name, Composition.title, Composition.note, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:impression, Composition.extension:recommendation, Composition.extension:patientHistory, Composition.modifierExtension, Composition.attester.extension, Composition.attester.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 5 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (http://hl7.org/fhir/StructureDefinition/Patient|5.0.0)
• Practitioner (http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0)
• Device (http://hl7.org/fhir/StructureDefinition/Device|5.0.0)
• ImagingStudy (http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0)
• Observation (http://hl7.org/fhir/StructureDefinition/Observation|5.0.0)

Extensions

This structure refers to these extensions:

• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history

Maturity: 0

Other representations of profile: CSV, Excel, Schematron