Cancer Pathology Data Sharing
2.0.0 - STU 2 United States of America flag

Cancer Pathology Data Sharing, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cancer-reporting/ and changes regularly. See the Directory of published versions

Resource Profile: US Pathology Composition Laboratory Report

Official URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-composition Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: USPathologyComposition

This Composition profile represents a Laboratory Report for the Clinical Pathology Data Sharing Implementation Guide.

Introduction

This US Pathology Composition profile defines how to structure pathology reports based on CAP electronic Cancer Protocols (eCPs) within FHIR.

Key Elements and Binding Requirements

  • extension:diagnosticReportReference:
    • DiagnosticReport is bound to both the Observations AND the Composition through this extension
  • type:
    • Bound to the CAP eCP Form Codes ValueSet
    • Allows unique identification of the specific CAP Protocol
  • section.code:
  • Bound to the CAP eCP Section Codes ValueSet

  • section.entry:
    • Each entry references a section in the report

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 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:diagnosticReport-reference 0..1 (Complex) Extension
URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 1..1 Reference(US Pathology Diagnostic Report) Value of extension
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept CAP Form Identifier
Binding: CAP eCP Form Codes (extensible)
... subject Σ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
... encounter Σ 0..1 Reference(US Core Encounter Profile) The healthcare event which this Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(US Pathology Related Practitioner Role) Who and/or what authored the Report
... title Σ 1..1 string CAP Form Title
... attester 0..* BackboneElement Attests the report accuracy
.... 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.
... section SC 1..* BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Title should be the display of the section code
.... code 0..1 CodeableConcept CAP Form Section Identifier
Binding: CAP eCP Section Codes (extensible)
.... entry C 1..* Reference(US Pathology Observation) An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the section.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typeextensibleCAPeCPFormCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes
From this IG
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.section.codeextensibleCAPeCPSectionCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes
From this IG

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition Composition
... text 0..1 Narrative Narrative text
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:diagnosticReport-reference 0..1 (Complex) Extension
URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
..... value[x] 1..1 Reference(US Pathology Diagnostic Report) Value of extension
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
... identifier 0..1 Identifier Report identifier
... type 1..1 CodeableConcept CAP Form Identifier
Binding: CAP eCP Form Codes (extensible)
... subject 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
... encounter 0..1 Reference(US Core Encounter Profile) The healthcare event which this Report is about (when test ordered).
... author 1..* Reference(US Pathology Related Practitioner Role) Who and/or what authored the Report
... title 1..1 string CAP Form Title
... attester 0..* BackboneElement Attests the report accuracy
... event
.... code 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: ActCode (3.0.0) (required)
... section S 1..* BackboneElement Composition is broken into sections
.... title 0..1 string Title should be the display of the section code
.... code 0..1 CodeableConcept CAP Form Section Identifier
Binding: CAP eCP Section Codes (extensible)
.... entry 1..* Reference(US Pathology Observation) An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the section.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typeextensibleCAPeCPFormCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes
From this IG
Composition.event.coderequiredActCode
http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
Composition.section.codeextensibleCAPeCPSectionCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:diagnosticReport-reference 0..1 (Complex) Extension
URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 1..1 Reference(US Pathology Diagnostic Report) Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept CAP Form Identifier
Binding: CAP eCP Form Codes (extensible)
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject Σ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
... encounter Σ 0..1 Reference(US Core Encounter Profile) The healthcare event which this Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(US Pathology Related Practitioner Role) Who and/or what authored the Report
... title Σ 1..1 string CAP Form 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 the report accuracy
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code 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) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The 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) (required)
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... section SC 1..* BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Title should be the display of the section code
.... code 0..1 CodeableConcept CAP Form Section Identifier
Binding: CAP eCP Section Codes (extensible)
.... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text 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(US Pathology Observation) An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the 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

PathConformanceValueSetURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.extension:diagnosticReport-reference.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typeextensibleCAPeCPFormCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes
From this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.coderequiredActCode
http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
Composition.section.codeextensibleCAPeCPSectionCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes
From this IG
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:diagnosticReport-reference 0..1 (Complex) Extension
URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 1..1 Reference(US Pathology Diagnostic Report) Value of extension
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept CAP Form Identifier
Binding: CAP eCP Form Codes (extensible)
... subject Σ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
... encounter Σ 0..1 Reference(US Core Encounter Profile) The healthcare event which this Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(US Pathology Related Practitioner Role) Who and/or what authored the Report
... title Σ 1..1 string CAP Form Title
... attester 0..* BackboneElement Attests the report accuracy
.... 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.
... section SC 1..* BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Title should be the display of the section code
.... code 0..1 CodeableConcept CAP Form Section Identifier
Binding: CAP eCP Section Codes (extensible)
.... entry C 1..* Reference(US Pathology Observation) An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the section.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typeextensibleCAPeCPFormCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes
From this IG
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.section.codeextensibleCAPeCPSectionCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes
From this IG

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition Composition
... text 0..1 Narrative Narrative text
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:diagnosticReport-reference 0..1 (Complex) Extension
URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
..... value[x] 1..1 Reference(US Pathology Diagnostic Report) Value of extension
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
... identifier 0..1 Identifier Report identifier
... type 1..1 CodeableConcept CAP Form Identifier
Binding: CAP eCP Form Codes (extensible)
... subject 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
... encounter 0..1 Reference(US Core Encounter Profile) The healthcare event which this Report is about (when test ordered).
... author 1..* Reference(US Pathology Related Practitioner Role) Who and/or what authored the Report
... title 1..1 string CAP Form Title
... attester 0..* BackboneElement Attests the report accuracy
... event
.... code 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: ActCode (3.0.0) (required)
... section S 1..* BackboneElement Composition is broken into sections
.... title 0..1 string Title should be the display of the section code
.... code 0..1 CodeableConcept CAP Form Section Identifier
Binding: CAP eCP Section Codes (extensible)
.... entry 1..* Reference(US Pathology Observation) An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the section.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typeextensibleCAPeCPFormCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes
From this IG
Composition.event.coderequiredActCode
http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
Composition.section.codeextensibleCAPeCPSectionCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:diagnosticReport-reference 0..1 (Complex) Extension
URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 1..1 Reference(US Pathology Diagnostic Report) Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept CAP Form Identifier
Binding: CAP eCP Form Codes (extensible)
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject Σ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
... encounter Σ 0..1 Reference(US Core Encounter Profile) The healthcare event which this Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(US Pathology Related Practitioner Role) Who and/or what authored the Report
... title Σ 1..1 string CAP Form 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 the report accuracy
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code 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) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The 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) (required)
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... section SC 1..* BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Title should be the display of the section code
.... code 0..1 CodeableConcept CAP Form Section Identifier
Binding: CAP eCP Section Codes (extensible)
.... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text 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(US Pathology Observation) An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the 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

PathConformanceValueSetURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.extension:diagnosticReport-reference.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typeextensibleCAPeCPFormCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes
From this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.coderequiredActCode
http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
Composition.section.codeextensibleCAPeCPSectionCodes
http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes
From this IG
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron