HL7 Czech Laboratory Order IG
0.0.1 - ci-build
HL7 Czech Laboratory Order IG
0.0.1 - ci-build
HL7 Czech Laboratory Order IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/lab-order/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/lab-order/StructureDefinition/cz-CompositionLabOrder | Version: 0.0.1 | |||
| Standards status: Draft | Maturity Level: 0 | Computable Name: CZ_CompositionLabOrder | ||
Copyright/Legal: HL7 CZ |
||||
Clinical document used to represent a Laboratory Order for the scope of this guide.
Laboratory order bundle is an electronic health record extract containing order of laboratory examination for subject of care, comprising at least the required elements of the lab dataset.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Composition |
C | 0..* | Composition | Laboratory Order Composition Constraints: text-or-section |
  meta |
Σ | 0..1 | Meta | Metadata about the resource |
  security |
SΣ | 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: http://hl7.eu/fhir/StructureDefinition/presentedForm | |
  extension |
0..0 | |||
 url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/presentedForm" | |
 extension:informationRecipient |
0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
 extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |
 value[x] |
0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension | |
 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: Valueset of types Clinical event (CZ) (required) |
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (required) |
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) | Who and/or what the composition is about |
| encounter |
Σ | 0..1 | Reference(Encounter: Lab Order (CZ)) | Context that defines the Laboratory Order |
| date |
Σ | 1..1 | dateTime | Date the order was created. |
| author |
Σ | 1..* | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Practitioner Role (CZ core)) | Who and/or what authored the Laboratory order |
| title |
Σ | 1..1 | string | Human Readable name/title |
| custodian |
Σ | 0..1 | Reference(Organization (CZ core)) | Organization that manages the Laboratory Order |
  Slices for section |
C | 2..* | BackboneElement | Sections composing the Laboratory 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 |
 author |
0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |
| section:serviceRequest |
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: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
| 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(ServiceRequest: Laboratory 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: 42349-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
| 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 | 1..* | Reference(Clinical question: Laboratory Order (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)) | 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 (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) | Condition) | 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 Laboratory Order (CZ)) | A reference to data that supports this section |
| Documentation for this format | ||||
| 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 | Valueset of types Clinical event (CZ) | 📦0.0.1 | This IG |
| Composition.category | Base | required | Document Class Value Set | 📦4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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: |
|---|---|---|---|---|
| Composition |
C | 0..* | Composition | Laboratory 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: http://hl7.eu/fhir/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) | 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: Valueset of types Clinical event (CZ) (required) | |
| category |
0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (required) | |
| subject |
1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) | Who and/or what the composition is about | |
| encounter |
0..1 | Reference(Encounter: Lab Order (CZ)) | Context that defines the Laboratory Order | |
| date |
1..1 | dateTime | Date the order was created. | |
| author |
1..* | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Practitioner Role (CZ core)) | Who and/or what authored the Laboratory order | |
| custodian |
0..1 | Reference(Organization (CZ core)) | Organization that manages the Laboratory Order | |
| Slices for section |
2..* | BackboneElement | Sections composing the Laboratory Order Slice: Unordered, Open by value:code | |
| section:All Slices |
Content/Rules for all slices | |||
| author |
0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |
| section:serviceRequest |
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: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
| entry |
0..* | Reference(ServiceRequest: Laboratory 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: 42349-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
| entry |
1..* | Reference(Clinical question: Laboratory Order (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)) | 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 (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) | Condition) | 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 Laboratory Order (CZ)) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.type | Base | required | Valueset of types Clinical event (CZ) | 📦0.0.1 | This IG |
| Composition.category | Base | required | Document Class Value Set | 📦4.0.1 | FHIR Std. |
| 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: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | Composition | Laboratory 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 |
SΣ | 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.
| |||||
| 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: http://hl7.eu/fhir/StructureDefinition/presentedForm | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/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.
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 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
| value[x] |
0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension | |||||
| 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: Valueset of types Clinical event (CZ) (required) | ||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (required) | ||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) | Who and/or what the composition is about | ||||
| encounter |
Σ | 0..1 | Reference(Encounter: Lab Order (CZ)) | Context that defines the Laboratory Order | ||||
| date |
Σ | 1..1 | dateTime | Date the order was created. | ||||
| author |
Σ | 1..* | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Practitioner Role (CZ core)) | Who and/or what authored the Laboratory 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 Laboratory 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 Laboratory 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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:serviceRequest |
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: 30954-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data 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 | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(ServiceRequest: Laboratory 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: 42349-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Reason for referral (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 | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..* | Reference(Clinical question: Laboratory 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: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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Coverage (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: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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Appointment (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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Medication Statement (CZ) | Condition) | 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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Attachment Laboratory 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 | ||||
| Documentation for this format | ||||||||
| 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 | Valueset of types Clinical event (CZ) | 📦0.0.1 | This IG |
| Composition.category | Base | required | Document Class Value Set | 📦4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v6.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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(4 nested mandatory elements)
Must-Support: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | Composition | Laboratory Order Composition Constraints: text-or-section |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| security |
SΣ | 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: http://hl7.eu/fhir/StructureDefinition/presentedForm | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/presentedForm" | |
| extension:informationRecipient |
0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |
| value[x] |
0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension | |
| 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: Valueset of types Clinical event (CZ) (required) |
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (required) |
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) | Who and/or what the composition is about |
| encounter |
Σ | 0..1 | Reference(Encounter: Lab Order (CZ)) | Context that defines the Laboratory Order |
| date |
Σ | 1..1 | dateTime | Date the order was created. |
| author |
Σ | 1..* | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Practitioner Role (CZ core)) | Who and/or what authored the Laboratory order |
| title |
Σ | 1..1 | string | Human Readable name/title |
| custodian |
Σ | 0..1 | Reference(Organization (CZ core)) | Organization that manages the Laboratory Order |
| Slices for section |
C | 2..* | BackboneElement | Sections composing the Laboratory 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 |
| author |
0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |
| section:serviceRequest |
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: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
| 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(ServiceRequest: Laboratory 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: 42349-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
| 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 | 1..* | Reference(Clinical question: Laboratory Order (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)) | 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 (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) | Condition) | 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 Laboratory Order (CZ)) | A reference to data that supports this section |
| Documentation for this format | ||||
| 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 | Valueset of types Clinical event (CZ) | 📦0.0.1 | This IG |
| Composition.category | Base | required | Document Class Value Set | 📦4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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: |
|---|---|---|---|---|
| Composition |
C | 0..* | Composition | Laboratory 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: http://hl7.eu/fhir/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) | 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: Valueset of types Clinical event (CZ) (required) | |
| category |
0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (required) | |
| subject |
1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) | Who and/or what the composition is about | |
| encounter |
0..1 | Reference(Encounter: Lab Order (CZ)) | Context that defines the Laboratory Order | |
| date |
1..1 | dateTime | Date the order was created. | |
| author |
1..* | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Practitioner Role (CZ core)) | Who and/or what authored the Laboratory order | |
| custodian |
0..1 | Reference(Organization (CZ core)) | Organization that manages the Laboratory Order | |
| Slices for section |
2..* | BackboneElement | Sections composing the Laboratory Order Slice: Unordered, Open by value:code | |
| section:All Slices |
Content/Rules for all slices | |||
| author |
0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |
| section:serviceRequest |
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: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
| entry |
0..* | Reference(ServiceRequest: Laboratory 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: 42349-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
| entry |
1..* | Reference(Clinical question: Laboratory Order (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)) | 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 (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) | Condition) | 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 Laboratory Order (CZ)) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.type | Base | required | Valueset of types Clinical event (CZ) | 📦0.0.1 | This IG |
| Composition.category | Base | required | Document Class Value Set | 📦4.0.1 | FHIR Std. |
| 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: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | Composition | Laboratory 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 |
SΣ | 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.
| |||||
| 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: http://hl7.eu/fhir/StructureDefinition/presentedForm | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/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.
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 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
| value[x] |
0..1 | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Patient (CZ core) | Related Person (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) | Value of extension | |||||
| 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: Valueset of types Clinical event (CZ) (required) | ||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (required) | ||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) | Who and/or what the composition is about | ||||
| encounter |
Σ | 0..1 | Reference(Encounter: Lab Order (CZ)) | Context that defines the Laboratory Order | ||||
| date |
Σ | 1..1 | dateTime | Date the order was created. | ||||
| author |
Σ | 1..* | Reference(Practitioner (CZ core) | Device: Performer/Observer (CZ) | Practitioner Role (CZ core)) | Who and/or what authored the Laboratory 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 Laboratory 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 Laboratory 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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:serviceRequest |
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: 30954-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data 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 | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(ServiceRequest: Laboratory 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: 42349-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Reason for referral (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 | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..* | Reference(Clinical question: Laboratory 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: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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Coverage (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: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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Appointment (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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Medication Statement (CZ) | Condition) | 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 (CZ core) | Practitioner Role (CZ core) | Device | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Attachment Laboratory 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 | ||||
| Documentation for this format | ||||||||
| 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 | Valueset of types Clinical event (CZ) | 📦0.0.1 | This IG |
| Composition.category | Base | required | Document Class Value Set | 📦4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v6.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:serviceRequest.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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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:serviceRequest, Composition.section:clinicalQuestion, Composition.section:coverage, Composition.section:appointment, 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(4 nested mandatory elements)
Must-Support: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron