HL7 Czech Imaging Order IG
0.1.0-ballot - ballot

HL7 Czech Imaging Order IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/img-order/ and changes regularly. See the Directory of published versions

## Resource Profile: Composition: Imaging Order (CZ)

Official URL: https://hl7.cz/fhir/img-order/StructureDefinition/cz-compositionImageOrder | Version: 0.1.0-ballot
Standards status: Draft | Maturity Level: 0 | Computable Name: CZ_CompositionImageOrder
Copyright/Legal: HL7 CZ

Clinical document used to represent a Imaging Order for the scope of this guide.

Imaging order bundle is an electronic health record extract containing order for imaging observation from a subject of care, comprising at least the required elements of the imaging dataset.

## Content (cs)

### Sekce a obsah

Dokument je rozdělen do sady povinných a nepovinných sekcí. V případě, že nejsou pro povinnou sekci k dispozici žádná data, lze odůvodnění vyjádřit v `composition.section.emptyReason`.

### Struktura dokumentu

Zobrazovací zpráva obsahuje následující sekce v tomto pořadí:

#### Hlavička obrazové žádanky

Obecné informace o zprávě. Většina informačních prvků v této části zprávy se překrývá s jinými klinickými zprávami. Záhlaví dokumentu obsahuje informace o pacientovi, zdrojové organizaci, autorovi, ověřovateli a správci zprávy.

Klinická událost (encounter)

Tento profil umožňuje propojení žádanky s jednou konkrétní klinickou událostí, tj. například návštěvu ambulance, při které žádanka vznikla.

#### Tělo obrazové žádanky

Informace o objednávce

Tato požadovaná sekce zahrnuje povinný identifikátor žádanky (A.2.1.1), datum a čas jejího vytvoření (A.2.1.2) – pokud je založena sekce informací, musí tyto informace obsahovat. Mezi volitelné položky patří urgentnost objednávky (z pohledu indikujícího lékaře) vyjádřená mezinárodním kódem ze sytému HL7 (Request Priority) (A.2.1.4), který může nabývat hodnot routine (běžná priorita), urgent (spěchá), asap (co možná nejdříve) a stat (status iminens, STATIM). Další volitelnou položkou je datum a čas požadovaného vyšetření (A.2.1.3), zde se nejedná o termín skutečného objednání, otevírá se zde možnost např. zaslat žádanku s prosbou o objednání na den, kdy má pacient ambulantní klinickou kontrolu.

Další požadavky / podrobné specifikace zkoušky (A.2.1.5) je další volitelné pole, které může obsahovat další informace pro objednávku. To může zahrnovat například požadavek odesílajícího lékaře na použití specifického dohodnutého protokolu nebo provedení vyšetření na konkrétním přístroji MRI.

Poslední volitelnou položkou jsou informace pro pacienta, jako jsou požadavky na lačno, vysazení léků, rady ohledně klaustrofobie atd.

Odůvodnění vyšetření (klinická otázka)

Tato požadovaná sekce zahrnuje indikační diagnózu (A.2.2.1), která je vyžadována zdravotními pojišťovnami k proplacení služby. Další položky zahrnují klinickou otázku (věta tázací, měla by končit otazníkem a mělo by možné na ni na základě obrazového vyšetření odpovědět) případně zadanou i kódem SNOMED-CT a důvod objednávky (v podstatě odpovídá stručné epikríze, opět s možností zadat tutéž informaci pomocí kódu). Výhodou zadávání kódem by v budoucnu mohlo být provázání s již zadanými informacemi v NIS, Indikující lékař by tedy reálně tyto informace zadávat podruhé nemusel.

Platba

Tato část umožňuje upřesnění, pokud je část vyšetření hrazena jinak než většina (např. speciální rekonstrukce nehrazené pojištěním). I když je vyžadováno, aby byla tato část přítomna, není povinné ji vyplňovat, což znamená, že může být ponecháno prázdné, pokud to není možné.

Volný textový komentář k úhradě lze použít v případě potřeby upřesnit, kterou část péče hradí jiný plátce. To umožňuje jasnost a transparentnost, pokud jde o finanční odpovědnost a ujednání související s poskytovanými zdravotnickými službami.

Termín vyšetření (návštěvy)

Tato požadovaná sekce zahrnuje potvrzené informace z vyšetřujícího ZZ o objednávce, tj. na kdy je pacient objednán, kam má přijít, včetně volného textu komentáře (např. MR na 2. patře hlavní budovy). Využití těchto struktur předpokládá, že bude možné po přijetí žádanky vyšetřujícím ZZ tyto informace „doplnit“ neboli vytvořit aktualizovanou verzi žádanky tuto informaci obsahující.

Objednávky plánované péče

Odkazy na objednávky plánované péče navazující na tuto žádanku. Kromě ID by měl obsahovat i název této schůzky, ostatní informace by se měly automaticky doplnit z odkazované objednávky. Například “Konzultace na neurochirurgii”, přes ID pak zjistit, že bude v ÚVN 15.3.2040 v 16:15.

Implantáty

V této sekci je uveden seznam implantátů či pomůcek majících vliv na průběh vyšetření či jeho interpretaci.

Přílohy

Tato požadovaná sekce umožní přidat libovolný další zdroj informací (například ambulantní zprávy, propouštěcí zprávy – v digitální podobě nebo i jen scan, data poskytnutá pacientem atd. Opět není povinná, pouze otevíráme možnost libovolné přílohy).

## Content (en)

### Sections and content

The document is divided into a set of mandatory and optional sections. In case no data is available for a mandatory section, the justification can be expressed in `composition.section.emptyReason`.

### Document structure

The Imaging order holds the following sections in this order:

#### Imaging Order Header

General information on the order. Most of the information elements in this part of the order overlap with other clinical orders. The document header includes information on the patient, source organization, author, attester and custodian of the order.

Clinical Encounter (Encounter)

This profile allows for linking the order form to a specific clinical encounter, such as an outpatient visit during which the order was created.

#### Body of the Imaging Order

Order Information

This mandatory section includes the required order identifier (A.2.1.1) and the date and time of its creation (A.2.1.2) — if the information section is established, it must contain these details. Optional items include the urgency of the order (from the perspective of Indicating Physician) expressed by an international code from the HL7 system (Request Priority) (A.2.1.4), which can have values such as routine (normal priority), urgent (urgent case), asap (as soon as possible) and stat (status iminens / STATIM). Another optional item is the requested date and time of the examination (A.2.1.3), which does not refer to the actual booking date but opens the possibility, for example, to send an order form with a request for scheduling on the day when the patient has an outpatient clinical check-up.

Additional Requirements / Detailed Examination Specifications (A.2.1.5) is another optional field that can contain extra information for the order. This could include, for example, the Referring physician request for using a specific agreed-upon protocol or conducting the examination on a specific MRI machine.

The final optional item is information for the patient, such as fasting requirements, medication discontinuation, advice on claustrophobia, etc.

Justification for Examination (Clinical question)

This required section includes the indicative diagnosis (A.2.2.1), which is required by health insurance companies for service reimbursement. Additional items include the clinical question (an interrogative sentence that should end with a question mark and should be answerable based on the imaging examination) which can also be assigned a SNOMED CT code, and the reason for the order (essentially a brief summary, again with the option to encode the information). The advantage of using a code in the future could be the integration with existing information in the Indicating Physician's system within the NIS (Nursing Information System), thereby eliminating the need to re-enter this information.

Payment (Coverage)

This section allows for specification if part of the examination is covered differently than the majority of it (e.g. special reconstructions not covered by insurance). While this section is required to be present, it is not mandatory to fill it out, meaning it can be left blank if not applicable.

A free text comment on payment can be used when there is a need to specify which part of the care is covered by a different payer. This allows for clarity and transparency regarding the financial responsibilities and arrangements associated with the provided healthcare services.

Examination Appointment (Visit)

This mandatory section includes confirmed information from the examining healthcare facility about the appointment, such as when the patient is scheduled, where they need to go, and may include free text comments (e.g. MRI on the 2nd floor of the main building). The use of these structures assumes that it will be possible, after the order has been received by the examining healthcare facility, to "supplement" this information or create an updated version of the order form that includes this information.

Care plans

This section contains references to scheduled care plan orders that follow from this order form. Besides the ID, it should include the name of the appointment, with other details being automatically populated from the referenced order. For example, an entry may state "Consultation in Neurosurgery" and by using the ID, one can determine that it is scheduled at the Central Military Hospital on March 15, 2040, at 16:15. This facilitates efficient tracking and management of the patient’s care pathway.

Medical Devices (Implants)

This section contains a list of implants or devices that affect the course of the examination or its interpretation.

Attachments

This optional section allows for the inclusion of any additional sources of information, such as outpatient reports, discharge summaries (in digital form or even just a scan), data provided by the patient, etc. While this section is not mandatory, it provides the flexibility to attach various types of files or documents to supplement the order form with relevant information.

Usages:

- Use this Profile: Bundle: Imaging Order (CZ)
- Examples for this Profile: Composition/dbd426a9-d660-4f97-8656-1e39db4a57c9

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 | C | 0..* | Composition | Imaging Order Composition Constraints: text-or-section
meta | Σ | 0..1 | Meta | Metadata about the resource
security | S Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:presentedForm |  | 0..* | (Complex) | Presented form URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Order identifier
status | ?!Σ | 1..1 | code | Status of the Order Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Typy žádanek (required)
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721964003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: Kategorie dokumentů (required)
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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: 57133-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter (CZ base)) | Context that defines the Imaging Order
date | Σ | 1..1 | dateTime | Date the order was created.
author | Σ | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core)) | Who and/or what authored the Imaging order
title | Σ | 1..1 | string | Human Readable name/title
custodian | Σ | 0..1 | Reference(Organization (CZ core)) | Organization that manages the Imaging Order
Slices for section | C | 2..* | BackboneElement | Sections composing the Imaging Order Slice: Unordered, Open by value:code 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
section:orderInformation | C | 1..* | BackboneElement | Order Information Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 55115-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Requested imaging studies information Document
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Service Request: Imaging Order (CZ)) | A reference to data that supports this section
section:clinicalQuestion | C | 1..* | BackboneElement | Clinical question Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 18785-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiology Reason for study (narrative)
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 core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section
text | C | 1..1 | Narrative | Clinical question text This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(Condition: Clinical question (CZ)) | A reference to data that supports this section
section:coverage | C | 0..* | BackboneElement | Coverage type Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 87520-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Coverage type
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Coverage (CZ core)) | A reference to data that supports this section
section:appointment | C | 0..1 | BackboneElement | Appointment Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 56446-8
display |  | 1..1 | string | Representation defined by the system Fixed Value: Appointment summary Document
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Appointment: Imaging Order (CZ)) | A reference to data that supports this section
section:carePlan | C | 0..1 | BackboneElement | Care Plan Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 18776-5
display |  | 1..1 | string | Representation defined by the system Fixed Value: Plan of care note
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:medicalDevices | C | 0..* | BackboneElement | Medical Devices and implants Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 97813-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Implant component
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Device Use Statement: Imaging Order (CZ)) | A reference to data that supports this section
section:supportingInformation | C | 0..1 | BackboneElement | Supporting information Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 55752-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Clinical information
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Patient mobility: Imaging Order (CZ) | Condition | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:attachments | C | 0..* | BackboneElement | Library of attachments Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 77599-9
display |  | 1..1 | string | Representation defined by the system Fixed Value: Additional documentation
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Attachment (CZ core)) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | Typy žádanek | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.category | Base | required | Kategorie dokumentů | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.section:orderInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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()`
text-or-section | error | Composition | A Composition SHALL have either text, at least one section, or both. | `text.exists() or section.exists()`

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | Composition | Imaging Order Composition Constraints: text-or-section
meta |  |  |  |
security | S | 0..* | Coding | Security Labels applied to this resource
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:presentedForm |  | 0..* | (Complex) | Presented form URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
value[x] |  |  |  |
contentType |  | 0..1 | code | Mime type of the content, with charset etc. Example pdf: application/pdf
data |  | 0..1 | base64Binary | B64 in-line data
url |  | 0..1 | url | URL of the document
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x] |  | 0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension
identifier |  | 0..1 | Identifier | Order identifier
status |  | 1..1 | code | Status of the Order
type |  | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Typy žádanek (required)
coding |  | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721964003
category |  | 0..* | CodeableConcept | Categorization of Composition Binding: Kategorie dokumentů (required)
coding |  | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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: 57133-1
subject |  | 1..1 | Reference(Patient (CZ core)) | Who and/or what the composition is about
encounter |  | 0..1 | Reference(Encounter (CZ base)) | Context that defines the Imaging Order
date |  | 1..1 | dateTime | Date the order was created.
author |  | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core)) | Who and/or what authored the Imaging order
custodian |  | 0..1 | Reference(Organization (CZ core)) | Organization that manages the Imaging Order
Slices for section |  | 2..* | BackboneElement | Sections composing the Imaging Order Slice: Unordered, Open by value:code
section:orderInformation |  | 1..* | BackboneElement | Order Information
code |  | 1..1 | CodeableConcept | 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: 55115-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Requested imaging studies information Document
entry |  | 0..* | Reference(Service Request: Imaging Order (CZ)) | A reference to data that supports this section
section:clinicalQuestion |  | 1..* | BackboneElement | Clinical question
code |  | 1..1 | CodeableConcept | 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: 18785-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiology Reason for study (narrative)
author |  | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section
text |  | 1..1 | Narrative | Clinical question text
entry |  | 0..* | Reference(Condition: Clinical question (CZ)) | A reference to data that supports this section
section:coverage |  | 0..* | BackboneElement | Coverage type
code |  | 1..1 | CodeableConcept | 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: 87520-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Coverage type
entry |  | 0..* | Reference(Coverage (CZ core)) | A reference to data that supports this section
section:appointment |  | 0..1 | BackboneElement | Appointment
code |  | 1..1 | CodeableConcept | 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: 56446-8
display |  | 1..1 | string | Representation defined by the system Fixed Value: Appointment summary Document
entry |  | 0..* | Reference(Appointment: Imaging Order (CZ)) | A reference to data that supports this section
section:carePlan |  | 0..1 | BackboneElement | Care Plan
code |  | 1..1 | CodeableConcept | 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: 18776-5
display |  | 1..1 | string | Representation defined by the system Fixed Value: Plan of care note
entry |  | 0..* | Reference(Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:medicalDevices |  | 0..* | BackboneElement | Medical Devices and implants
code |  | 1..1 | CodeableConcept | 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: 97813-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Implant component
entry |  | 0..* | Reference(Device Use Statement: Imaging Order (CZ)) | A reference to data that supports this section
section:supportingInformation |  | 0..1 | BackboneElement | Supporting information
code |  | 1..1 | CodeableConcept | 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: 55752-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Clinical information
entry |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Patient mobility: Imaging Order (CZ) | Condition | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:attachments |  | 0..* | BackboneElement | Library of attachments
code |  | 1..1 | CodeableConcept | 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: 77599-9
display |  | 1..1 | string | Representation defined by the system Fixed Value: Additional documentation
entry |  | 0..* | Reference(Attachment (CZ core)) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.type | Base | required | Typy žádanek | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.category | Base | required | Kategorie dokumentů | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2

#### Constraints

Id | Grade | Path(s) | Description | Expression
text-or-section | error | Composition | A Composition SHALL have either text, at least one section, or both. | `text.exists() or section.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | Composition | Imaging Order Composition Constraints: text-or-section
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | S Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
extension:presentedForm |  | 0..* | (Complex) | Presented form URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
value[x] |  | 0..1 | Attachment | 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
contentType | Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png Example pdf: application/pdf
language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Example General: en-AU
data |  | 0..1 | base64Binary | B64 in-line data
url | Σ | 0..1 | url | URL of the document Example General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Order identifier
status | ?!Σ | 1..1 | code | Status of the Order Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Typy žádanek (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721964003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: Kategorie dokumentů (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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: 57133-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter (CZ base)) | Context that defines the Imaging Order
date | Σ | 1..1 | dateTime | Date the order was created.
author | Σ | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core)) | Who and/or what authored the Imaging order
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..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 to accuracy of composition
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 | personal | professional | legal | official Binding: CompositionAttestationMode (required): 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 (CZ core)) | Organization that manages the Imaging Order
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 clinical 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 event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | C | 2..* | BackboneElement | Sections composing the Imaging Order Slice: Unordered, Open by value:code 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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 | 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:orderInformation | C | 1..* | BackboneElement | Order Information 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 55115-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Requested imaging studies information Document
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 | 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 | 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(Service Request: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:clinicalQuestion | C | 1..* | BackboneElement | Clinical question 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 18785-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiology Reason for study (narrative)
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 core) | 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 | Clinical question text 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(Condition: Clinical question (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 | C | 0..* | See section (Composition) | Nested Section
section:coverage | C | 0..* | BackboneElement | Coverage type 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 87520-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Coverage type
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 | 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 | 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(Coverage (CZ core)) | 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:appointment | C | 0..1 | BackboneElement | Appointment 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 56446-8
display |  | 1..1 | string | Representation defined by the system Fixed Value: Appointment summary Document
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 | 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 | 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(Appointment: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:carePlan | C | 0..1 | BackboneElement | Care Plan 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 18776-5
display |  | 1..1 | string | Representation defined by the system Fixed Value: Plan of care note
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 | 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 | 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(Care plan: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:medicalDevices | C | 0..* | BackboneElement | Medical Devices and implants 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 97813-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Implant component
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 | 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 | 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(Device Use Statement: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:supportingInformation | C | 0..1 | BackboneElement | Supporting information 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 55752-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Clinical information
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 | 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 | 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(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Patient mobility: Imaging Order (CZ) | Condition | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:attachments | C | 0..* | BackboneElement | Library of attachments 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 77599-9
display |  | 1..1 | string | Representation defined by the system Fixed Value: Additional documentation
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 | 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 | 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(Attachment (CZ core)) | 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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.extension:presentedForm.​value[x].contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Composition.extension:presentedForm.​value[x].language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | Typy žádanek | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.category | Base | required | Kategorie dokumentů | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
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 v7.1
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:orderInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:orderInformation.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:orderInformation.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:orderInformation.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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()`
text-or-section | error | Composition | A Composition SHALL have either text, at least one section, or both. | `text.exists() or section.exists()`

This structure is derived from Composition

Summary

Mandatory: 6 elements(6 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Device: Performer/Observer (CZ core) (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)
- Encounter (CZ base) (https://hl7.cz/fhir/core/StructureDefinition/cz-encounter)
- Service Request: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-imagingOrderInformation)
- Condition: Clinical question (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-conditionClinicalQuestion)
- Coverage (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage)
- Appointment: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-appointment)
- Care plan: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-carePlanImage)
- Device Use Statement: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-deviceUseStatement)
- Medication Statement (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement)
- Body Height: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-bodyheight)
- Body Weight: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-bodyweight)
- Patient mobility: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-potientMobility)
- Allergy Intolerance (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-allergyIntolerance)
- Medical Device (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-observationImage)
- Attachment (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-attachment)

Extensions

This structure refers to these extensions:

- https://hl7.cz/fhir/core/StructureDefinition/presentedForm
- http://hl7.eu/fhir/StructureDefinition/information-recipient|1.2.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | Composition | Imaging Order Composition Constraints: text-or-section
meta | Σ | 0..1 | Meta | Metadata about the resource
security | S Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:presentedForm |  | 0..* | (Complex) | Presented form URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Order identifier
status | ?!Σ | 1..1 | code | Status of the Order Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Typy žádanek (required)
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721964003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: Kategorie dokumentů (required)
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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: 57133-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter (CZ base)) | Context that defines the Imaging Order
date | Σ | 1..1 | dateTime | Date the order was created.
author | Σ | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core)) | Who and/or what authored the Imaging order
title | Σ | 1..1 | string | Human Readable name/title
custodian | Σ | 0..1 | Reference(Organization (CZ core)) | Organization that manages the Imaging Order
Slices for section | C | 2..* | BackboneElement | Sections composing the Imaging Order Slice: Unordered, Open by value:code 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
section:orderInformation | C | 1..* | BackboneElement | Order Information Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 55115-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Requested imaging studies information Document
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Service Request: Imaging Order (CZ)) | A reference to data that supports this section
section:clinicalQuestion | C | 1..* | BackboneElement | Clinical question Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 18785-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiology Reason for study (narrative)
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 core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section
text | C | 1..1 | Narrative | Clinical question text This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(Condition: Clinical question (CZ)) | A reference to data that supports this section
section:coverage | C | 0..* | BackboneElement | Coverage type Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 87520-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Coverage type
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Coverage (CZ core)) | A reference to data that supports this section
section:appointment | C | 0..1 | BackboneElement | Appointment Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 56446-8
display |  | 1..1 | string | Representation defined by the system Fixed Value: Appointment summary Document
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Appointment: Imaging Order (CZ)) | A reference to data that supports this section
section:carePlan | C | 0..1 | BackboneElement | Care Plan Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 18776-5
display |  | 1..1 | string | Representation defined by the system Fixed Value: Plan of care note
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:medicalDevices | C | 0..* | BackboneElement | Medical Devices and implants Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 97813-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Implant component
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Device Use Statement: Imaging Order (CZ)) | A reference to data that supports this section
section:supportingInformation | C | 0..1 | BackboneElement | Supporting information Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 55752-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Clinical information
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Patient mobility: Imaging Order (CZ) | Condition | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:attachments | C | 0..* | BackboneElement | Library of attachments Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | 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: 77599-9
display |  | 1..1 | string | Representation defined by the system Fixed Value: Additional documentation
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
entry | C | 0..* | Reference(Attachment (CZ core)) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | Typy žádanek | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.category | Base | required | Kategorie dokumentů | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.section:orderInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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()`
text-or-section | error | Composition | A Composition SHALL have either text, at least one section, or both. | `text.exists() or section.exists()`

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | Composition | Imaging Order Composition Constraints: text-or-section
meta |  |  |  |
security | S | 0..* | Coding | Security Labels applied to this resource
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:presentedForm |  | 0..* | (Complex) | Presented form URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
value[x] |  |  |  |
contentType |  | 0..1 | code | Mime type of the content, with charset etc. Example pdf: application/pdf
data |  | 0..1 | base64Binary | B64 in-line data
url |  | 0..1 | url | URL of the document
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x] |  | 0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension
identifier |  | 0..1 | Identifier | Order identifier
status |  | 1..1 | code | Status of the Order
type |  | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Typy žádanek (required)
coding |  | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721964003
category |  | 0..* | CodeableConcept | Categorization of Composition Binding: Kategorie dokumentů (required)
coding |  | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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: 57133-1
subject |  | 1..1 | Reference(Patient (CZ core)) | Who and/or what the composition is about
encounter |  | 0..1 | Reference(Encounter (CZ base)) | Context that defines the Imaging Order
date |  | 1..1 | dateTime | Date the order was created.
author |  | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core)) | Who and/or what authored the Imaging order
custodian |  | 0..1 | Reference(Organization (CZ core)) | Organization that manages the Imaging Order
Slices for section |  | 2..* | BackboneElement | Sections composing the Imaging Order Slice: Unordered, Open by value:code
section:orderInformation |  | 1..* | BackboneElement | Order Information
code |  | 1..1 | CodeableConcept | 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: 55115-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Requested imaging studies information Document
entry |  | 0..* | Reference(Service Request: Imaging Order (CZ)) | A reference to data that supports this section
section:clinicalQuestion |  | 1..* | BackboneElement | Clinical question
code |  | 1..1 | CodeableConcept | 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: 18785-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiology Reason for study (narrative)
author |  | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section
text |  | 1..1 | Narrative | Clinical question text
entry |  | 0..* | Reference(Condition: Clinical question (CZ)) | A reference to data that supports this section
section:coverage |  | 0..* | BackboneElement | Coverage type
code |  | 1..1 | CodeableConcept | 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: 87520-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Coverage type
entry |  | 0..* | Reference(Coverage (CZ core)) | A reference to data that supports this section
section:appointment |  | 0..1 | BackboneElement | Appointment
code |  | 1..1 | CodeableConcept | 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: 56446-8
display |  | 1..1 | string | Representation defined by the system Fixed Value: Appointment summary Document
entry |  | 0..* | Reference(Appointment: Imaging Order (CZ)) | A reference to data that supports this section
section:carePlan |  | 0..1 | BackboneElement | Care Plan
code |  | 1..1 | CodeableConcept | 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: 18776-5
display |  | 1..1 | string | Representation defined by the system Fixed Value: Plan of care note
entry |  | 0..* | Reference(Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:medicalDevices |  | 0..* | BackboneElement | Medical Devices and implants
code |  | 1..1 | CodeableConcept | 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: 97813-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Implant component
entry |  | 0..* | Reference(Device Use Statement: Imaging Order (CZ)) | A reference to data that supports this section
section:supportingInformation |  | 0..1 | BackboneElement | Supporting information
code |  | 1..1 | CodeableConcept | 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: 55752-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Clinical information
entry |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Patient mobility: Imaging Order (CZ) | Condition | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Order (CZ)) | A reference to data that supports this section
section:attachments |  | 0..* | BackboneElement | Library of attachments
code |  | 1..1 | CodeableConcept | 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: 77599-9
display |  | 1..1 | string | Representation defined by the system Fixed Value: Additional documentation
entry |  | 0..* | Reference(Attachment (CZ core)) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.type | Base | required | Typy žádanek | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.category | Base | required | Kategorie dokumentů | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2

#### Constraints

Id | Grade | Path(s) | Description | Expression
text-or-section | error | Composition | A Composition SHALL have either text, at least one section, or both. | `text.exists() or section.exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | Composition | Imaging Order Composition Constraints: text-or-section
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | S Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
extension:presentedForm |  | 0..* | (Complex) | Presented form URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
value[x] |  | 0..1 | Attachment | 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
contentType | Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png Example pdf: application/pdf
language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Example General: en-AU
data |  | 0..1 | base64Binary | B64 in-line data
url | Σ | 0..1 | url | URL of the document Example General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ core) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Order identifier
status | ?!Σ | 1..1 | code | Status of the Order Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Typy žádanek (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721964003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: Kategorie dokumentů (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
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: 57133-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter (CZ base)) | Context that defines the Imaging Order
date | Σ | 1..1 | dateTime | Date the order was created.
author | Σ | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ core)) | Who and/or what authored the Imaging order
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..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 to accuracy of composition
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 | personal | professional | legal | official Binding: CompositionAttestationMode (required): 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 (CZ core)) | Organization that manages the Imaging Order
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 clinical 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 event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | C | 2..* | BackboneElement | Sections composing the Imaging Order Slice: Unordered, Open by value:code 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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 | 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:orderInformation | C | 1..* | BackboneElement | Order Information 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 55115-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Requested imaging studies information Document
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 | 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 | 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(Service Request: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:clinicalQuestion | C | 1..* | BackboneElement | Clinical question 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 18785-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiology Reason for study (narrative)
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 core) | 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 | Clinical question text 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(Condition: Clinical question (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 | C | 0..* | See section (Composition) | Nested Section
section:coverage | C | 0..* | BackboneElement | Coverage type 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 87520-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Coverage type
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 | 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 | 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(Coverage (CZ core)) | 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:appointment | C | 0..1 | BackboneElement | Appointment 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 56446-8
display |  | 1..1 | string | Representation defined by the system Fixed Value: Appointment summary Document
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 | 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 | 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(Appointment: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:carePlan | C | 0..1 | BackboneElement | Care Plan 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 18776-5
display |  | 1..1 | string | Representation defined by the system Fixed Value: Plan of care note
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 | 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 | 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(Care plan: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:medicalDevices | C | 0..* | BackboneElement | Medical Devices and implants 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 97813-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Implant component
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 | 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 | 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(Device Use Statement: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:supportingInformation | C | 0..1 | BackboneElement | Supporting information 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 55752-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Clinical information
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 | 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 | 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(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Patient mobility: Imaging Order (CZ) | Condition | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Order (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 | C | 0..* | See section (Composition) | Nested Section
section:attachments | C | 0..* | BackboneElement | Library of attachments 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 |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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: 77599-9
display |  | 1..1 | string | Representation defined by the system Fixed Value: Additional documentation
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 | 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 | 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(Attachment (CZ core)) | 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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.extension:presentedForm.​value[x].contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Composition.extension:presentedForm.​value[x].language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | Typy žádanek | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
Composition.category | Base | required | Kategorie dokumentů | 📦0.2.0 | HL7 Czech Terminology Implementation Guide v0.2
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 v7.1
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:orderInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:orderInformation.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:orderInformation.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:orderInformation.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:clinicalQuestion.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:coverage.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:appointment.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:carePlan.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:medicalDevices.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:supportingInformation.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:attachments.​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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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:orderInformation, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, Composition.section:carePlan, Composition.section:medicalDevices, Composition.section:supportingInformation, Composition.section:attachments | 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()`
text-or-section | error | Composition | A Composition SHALL have either text, at least one section, or both. | `text.exists() or section.exists()`

This structure is derived from Composition

Summary

Mandatory: 6 elements(6 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Device: Performer/Observer (CZ core) (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)
- Encounter (CZ base) (https://hl7.cz/fhir/core/StructureDefinition/cz-encounter)
- Service Request: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-imagingOrderInformation)
- Condition: Clinical question (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-conditionClinicalQuestion)
- Coverage (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage)
- Appointment: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-appointment)
- Care plan: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-carePlanImage)
- Device Use Statement: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-deviceUseStatement)
- Medication Statement (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement)
- Body Height: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-bodyheight)
- Body Weight: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-bodyweight)
- Patient mobility: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-potientMobility)
- Allergy Intolerance (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-allergyIntolerance)
- Medical Device (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-observationImage)
- Attachment (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-attachment)

Extensions

This structure refers to these extensions:

- https://hl7.cz/fhir/core/StructureDefinition/presentedForm
- http://hl7.eu/fhir/StructureDefinition/information-recipient|1.2.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section

Maturity: 0

Other representations of profile: CSV, Excel, Schematron