HL7 CZ Laboratory IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-lab/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Composition: Laboratory Report

Clinical document used to represent a Laboratory Report in the scope of the Czech national interoperability project.

Usages:

• Derived from this Profile: Composition: Obligations
• Use this Profile: Bundle - Laboratory Result Report
• Refer to this Profile: DiagnosticReport: Laboratory Report

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..*	Clinical Document	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension				Content/Rules for all slices
extension:versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest: Laboratory Order)
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Value of extension
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConceptIPS(2.0.0)	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS(2.0.0)	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ))	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the Laboratory Report
title	Σ	1..1	string	Laboratory Report
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests the report accuracy
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the report
custodian	Σ	1..1	Reference(Organization (CZ core))	Organization which maintains the composition
event	Σ	0..*	BackboneElement	The laboratory service(s) being documented
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: CZ Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
text	C	0..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	1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section:lab-subsections	C	0..*	BackboneElement	Variant 2: CZ Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
section	C	1..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
text	C	0..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	1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 48767-8
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
text	C	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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types (CZ)	📦0.5.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.category:specialty	Base	required	Laboratory Speciality Types (CZ)	📦0.5.0	This IG
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v6.5
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​section.code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:annotations.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Clinical Document

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Clinical Document	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
language		1..1	code	Language of the resource content
text		0..1	Narrative	Narrative text
Slices for extension				Content/Rules for all slices
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
Slices for value[x]		0..1	Identifier, Reference(ServiceRequest: Laboratory Order)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]		0..1	Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Value of extension
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	Identifier	Report identifier
status		1..1	code	Status of the Report
type		1..1	CodeableConceptIPS(2.0.0)	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred)
Slices for category		0..*	CodeableConceptIPS(2.0.0)	Report Category Slice: Unordered, Open by pattern:$this
category:studyType		0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty		0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
subject		1..1	Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ))	Who and/or what this report is about
encounter		0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
author		1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the Laboratory Report
title		1..1	string	Laboratory Report
confidentiality		1..1	code	As defined by affinity domain
attester		0..*	BackboneElement	Attests the report accuracy
mode		1..1	code	The type of attestation
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the report
custodian		1..1	Reference(Organization (CZ core))	Organization which maintains the composition
event		0..*	BackboneElement	The laboratory service(s) being documented
code		0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented
period		0..1	Period	Period of time covered by the documentation
detail		0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices				Content/Rules for all slices
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
section:lab-no-subsections		0..*	BackboneElement	Variant 1: CZ Laboratory Report section with entries and no sub-sections
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section		0..0
section:lab-subsections		0..*	BackboneElement	Variant 2: CZ Laboratory Report section with one to many subsections Laboratory Report Item
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
text		0..0
entry		0..0
section		1..*	BackboneElement	Nested Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section		0..0
section:annotations		0..*	BackboneElement	Annotation comment
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) 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: 48767-8
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..0
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type	Base	preferred	Laboratory Report Types (CZ)	📦0.5.0	This IG
Composition.category:studyType	Base	required	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.category:specialty	Base	required	Laboratory Speciality Types (CZ)	📦0.5.0	This IG
Composition.section:lab-no-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​section.code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Clinical Document	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
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		1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Narrative text 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
extension:versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest: Laboratory Order)
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Value of extension
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConceptIPS(2.0.0)	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS(2.0.0)	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ))	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the Laboratory Report
title	Σ	1..1	string	Laboratory Report
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests the report accuracy
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the report
custodian	Σ	1..1	Reference(Organization (CZ core))	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The laboratory service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	0..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	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	C	0..*	See section (Composition)	Nested Section
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: CZ Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	0..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation Laboratory (CZ))	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:lab-subsections	C	0..*	BackboneElement	Variant 2: CZ Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	1..*	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	0..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation Laboratory (CZ))	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:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 48767-8
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
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.extension:diagnosticReport-reference.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types (CZ)	📦0.5.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.category:specialty	Base	required	Laboratory Speciality Types (CZ)	📦0.5.0	This IG
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v6.5
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-no-subsections.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​section.code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Clinical Document

Summary

Mandatory: 6 elements(9 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• ServiceRequest: Laboratory Order (https://hl7.cz/fhir/lab/StructureDefinition/cz-service-request-lab)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• DiagnosticReport: Laboratory Report (https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips|2.0.0)
• Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
• Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
• Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
• Observation Laboratory (CZ) (https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory)

Extensions

This structure refers to these extensions:

• https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
• http://hl7.eu/fhir/StructureDefinition/information-recipient|0.5.0
• https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.extension.value[x]
• The element 1 is sliced based on the value of Composition.category
• The element 2 is sliced based on the values of Composition.section

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Clinical Document	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension				Content/Rules for all slices
extension:versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest: Laboratory Order)
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Value of extension
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConceptIPS(2.0.0)	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS(2.0.0)	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ))	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the Laboratory Report
title	Σ	1..1	string	Laboratory Report
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests the report accuracy
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the report
custodian	Σ	1..1	Reference(Organization (CZ core))	Organization which maintains the composition
event	Σ	0..*	BackboneElement	The laboratory service(s) being documented
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: CZ Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
text	C	0..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	1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section:lab-subsections	C	0..*	BackboneElement	Variant 2: CZ Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
section	C	1..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
text	C	0..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	1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 48767-8
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
text	C	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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types (CZ)	📦0.5.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.category:specialty	Base	required	Laboratory Speciality Types (CZ)	📦0.5.0	This IG
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v6.5
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​section.code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:annotations.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Clinical Document

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Clinical Document	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
language		1..1	code	Language of the resource content
text		0..1	Narrative	Narrative text
Slices for extension				Content/Rules for all slices
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
Slices for value[x]		0..1	Identifier, Reference(ServiceRequest: Laboratory Order)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]		0..1	Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Value of extension
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	Identifier	Report identifier
status		1..1	code	Status of the Report
type		1..1	CodeableConceptIPS(2.0.0)	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred)
Slices for category		0..*	CodeableConceptIPS(2.0.0)	Report Category Slice: Unordered, Open by pattern:$this
category:studyType		0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty		0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
subject		1..1	Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ))	Who and/or what this report is about
encounter		0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
author		1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the Laboratory Report
title		1..1	string	Laboratory Report
confidentiality		1..1	code	As defined by affinity domain
attester		0..*	BackboneElement	Attests the report accuracy
mode		1..1	code	The type of attestation
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the report
custodian		1..1	Reference(Organization (CZ core))	Organization which maintains the composition
event		0..*	BackboneElement	The laboratory service(s) being documented
code		0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented
period		0..1	Period	Period of time covered by the documentation
detail		0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices				Content/Rules for all slices
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
section:lab-no-subsections		0..*	BackboneElement	Variant 1: CZ Laboratory Report section with entries and no sub-sections
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section		0..0
section:lab-subsections		0..*	BackboneElement	Variant 2: CZ Laboratory Report section with one to many subsections Laboratory Report Item
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
text		0..0
entry		0..0
section		1..*	BackboneElement	Nested Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the section
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(Observation Laboratory (CZ))	A reference to data that supports this section
section		0..0
section:annotations		0..*	BackboneElement	Annotation comment
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) 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: 48767-8
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..0
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type	Base	preferred	Laboratory Report Types (CZ)	📦0.5.0	This IG
Composition.category:studyType	Base	required	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.category:specialty	Base	required	Laboratory Speciality Types (CZ)	📦0.5.0	This IG
Composition.section:lab-no-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​section.code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Clinical Document	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
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		1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Narrative text 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
extension:versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest: Laboratory Order)
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Value of extension
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConceptIPS(2.0.0)	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS(2.0.0)	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ))	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	Who and/or what authored the Laboratory Report
title	Σ	1..1	string	Laboratory Report
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests the report accuracy
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the report
custodian	Σ	1..1	Reference(Organization (CZ core))	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The laboratory service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	0..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	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	C	0..*	See section (Composition)	Nested Section
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: CZ Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	0..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation Laboratory (CZ))	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:lab-subsections	C	0..*	BackboneElement	Variant 2: CZ Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	1..*	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: Laboratory Study Types (CZ) (preferred)
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	0..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation Laboratory (CZ))	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:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS(2.0.0)	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 48767-8
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
author		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core))	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	C	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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.extension:diagnosticReport-reference.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types (CZ)	📦0.5.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.category:specialty	Base	required	Laboratory Speciality Types (CZ)	📦0.5.0	This IG
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v6.5
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-no-subsections.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​section.code	Base	preferred	Laboratory Study Types (CZ)	📦0.5.0	This IG
Composition.section:lab-subsections.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Clinical Document

Summary

Mandatory: 6 elements(9 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• ServiceRequest: Laboratory Order (https://hl7.cz/fhir/lab/StructureDefinition/cz-service-request-lab)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• DiagnosticReport: Laboratory Report (https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips|2.0.0)
• Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
• Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
• Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
• Observation Laboratory (CZ) (https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory)

Extensions

This structure refers to these extensions:

• https://hl7.cz/fhir/lab/StructureDefinition/composition-based-on-order-or-requisition
• http://hl7.eu/fhir/StructureDefinition/information-recipient|0.5.0
• https://hl7.cz/fhir/lab/StructureDefinition/composition-DiagnosticReportReference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.extension.value[x]
• The element 1 is sliced based on the value of Composition.category
• The element 2 is sliced based on the values of Composition.section

Maturity: 0