HL7 Czech Laboratory Order IG
0.0.1 - ci-build Czechia flag

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

Resource Profile: Composition: Laboratory Order (CZ)

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

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required 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.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

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.

Constraints

Id Grade Path(s) Description Expression
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary B64 in-line data
...... url Σ 0..1 url URL of the document
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
.... extension:informationRecipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required 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.

Constraints

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:

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

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required 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.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

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.

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary B64 in-line data
...... url Σ 0..1 url URL of the document
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
.... extension:informationRecipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required 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.

Constraints

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:

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

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron