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
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.
This US Pathology Composition profile defines how to structure pathology reports based on CAP electronic Cancer Protocols (eCPs) within FHIR.
Bound to the CAP eCP Section Codes ValueSet
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..1 | Narrative | Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference" | |
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1..1 | Reference(US Pathology Diagnostic Report) | Value of extension | |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..1 | Identifier | Report identifier |
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?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
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Σ | 1..1 | CodeableConcept | CAP Form Identifier Binding: CAP eCP Form Codes (extensible) |
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Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about |
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Σ | 0..1 | Reference(US Core Encounter Profile) | The healthcare event which this Report is about (when test ordered). |
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Σ | 1..1 | dateTime | Composition editing time |
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Σ | 1..* | Reference(US Pathology Related Practitioner Role) | Who and/or what authored the Report |
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Σ | 1..1 | string | CAP Form Title |
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0..* | BackboneElement | Attests the report accuracy | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
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SC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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0..1 | string | Title should be the display of the section code | |
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0..1 | CodeableConcept | CAP Form Section Identifier Binding: CAP eCP Section Codes (extensible) | |
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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. |
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Path | Conformance | ValueSet | URI |
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard | |
Composition.type | extensible | CAPeCPFormCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes From this IG | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard | |
Composition.section.code | extensible | CAPeCPSectionCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes From this IG |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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Composition | |||
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0..1 | Narrative | Narrative text | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference | |
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1..1 | Reference(US Pathology Diagnostic Report) | Value of extension | |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
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0..1 | Identifier | Report identifier | |
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1..1 | code | Status of the Report | |
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1..1 | CodeableConcept | CAP Form Identifier Binding: CAP eCP Form Codes (extensible) | |
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1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | |
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0..1 | Reference(US Core Encounter Profile) | The healthcare event which this Report is about (when test ordered). | |
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1..* | Reference(US Pathology Related Practitioner Role) | Who and/or what authored the Report | |
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1..1 | string | CAP Form Title | |
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0..* | BackboneElement | Attests the report accuracy | |
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||||
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0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (required) | |
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S | 1..* | BackboneElement | Composition is broken into sections |
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0..1 | string | Title should be the display of the section code | |
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0..1 | CodeableConcept | CAP Form Section Identifier Binding: CAP eCP Section Codes (extensible) | |
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1..* | Reference(US Pathology Observation) | An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the section. | |
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Path | Conformance | ValueSet | URI |
Composition.type | extensible | CAPeCPFormCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes From this IG | |
Composition.event.code | required | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0 | |
Composition.section.code | extensible | CAPeCPSectionCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes From this IG |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference" | |||||
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1..1 | Reference(US Pathology Diagnostic Report) | Value of extension | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..1 | Identifier | Report identifier | ||||
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?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
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Σ | 1..1 | CodeableConcept | CAP Form Identifier Binding: CAP eCP Form Codes (extensible) | ||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
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Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
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Σ | 0..1 | Reference(US Core Encounter Profile) | The healthcare event which this Report is about (when test ordered). | ||||
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Σ | 1..1 | dateTime | Composition editing time | ||||
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Σ | 1..* | Reference(US Pathology Related Practitioner Role) | Who and/or what authored the Report | ||||
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Σ | 1..1 | string | CAP Form Title | ||||
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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. | ||||
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0..* | BackboneElement | Attests the report accuracy | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
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0..1 | dateTime | When the composition was attested | |||||
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0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
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Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (required) | ||||
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Σ | 0..1 | Period | The period covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
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SC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Title should be the display of the section code | |||||
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0..1 | CodeableConcept | CAP Form Section Identifier Binding: CAP eCP Section Codes (extensible) | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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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. | ||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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Path | Conformance | ValueSet | URI | |||
Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Composition.extension:diagnosticReport-reference.value[x].type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard | ||||
Composition.type | extensible | CAPeCPFormCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes From this IG | ||||
Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes From the FHIR Standard | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 From the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard | ||||
Composition.event.code | required | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0 | ||||
Composition.section.code | extensible | CAPeCPSectionCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes From this IG | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order From the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 2
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
0..1 | Narrative | Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference" | |
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1..1 | Reference(US Pathology Diagnostic Report) | Value of extension | |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..1 | Identifier | Report identifier |
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?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
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Σ | 1..1 | CodeableConcept | CAP Form Identifier Binding: CAP eCP Form Codes (extensible) |
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Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about |
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Σ | 0..1 | Reference(US Core Encounter Profile) | The healthcare event which this Report is about (when test ordered). |
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Σ | 1..1 | dateTime | Composition editing time |
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Σ | 1..* | Reference(US Pathology Related Practitioner Role) | Who and/or what authored the Report |
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Σ | 1..1 | string | CAP Form Title |
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0..* | BackboneElement | Attests the report accuracy | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
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SC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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0..1 | string | Title should be the display of the section code | |
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0..1 | CodeableConcept | CAP Form Section Identifier Binding: CAP eCP Section Codes (extensible) | |
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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. |
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Path | Conformance | ValueSet | URI |
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard | |
Composition.type | extensible | CAPeCPFormCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes From this IG | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard | |
Composition.section.code | extensible | CAPeCPSectionCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes From this IG |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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Composition | |||
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0..1 | Narrative | Narrative text | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference | |
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1..1 | Reference(US Pathology Diagnostic Report) | Value of extension | |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
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0..1 | Identifier | Report identifier | |
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1..1 | code | Status of the Report | |
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1..1 | CodeableConcept | CAP Form Identifier Binding: CAP eCP Form Codes (extensible) | |
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1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | |
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0..1 | Reference(US Core Encounter Profile) | The healthcare event which this Report is about (when test ordered). | |
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1..* | Reference(US Pathology Related Practitioner Role) | Who and/or what authored the Report | |
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1..1 | string | CAP Form Title | |
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0..* | BackboneElement | Attests the report accuracy | |
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0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (required) | |
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S | 1..* | BackboneElement | Composition is broken into sections |
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0..1 | string | Title should be the display of the section code | |
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0..1 | CodeableConcept | CAP Form Section Identifier Binding: CAP eCP Section Codes (extensible) | |
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1..* | Reference(US Pathology Observation) | An Observation representing this section in the report and containing (hasMember) Observations representing the question/answers in the section. | |
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Path | Conformance | ValueSet | URI |
Composition.type | extensible | CAPeCPFormCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes From this IG | |
Composition.event.code | required | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0 | |
Composition.section.code | extensible | CAPeCPSectionCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes From this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference" | |||||
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1..1 | Reference(US Pathology Diagnostic Report) | Value of extension | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..1 | Identifier | Report identifier | ||||
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?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
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Σ | 1..1 | CodeableConcept | CAP Form Identifier Binding: CAP eCP Form Codes (extensible) | ||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
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Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
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Σ | 0..1 | Reference(US Core Encounter Profile) | The healthcare event which this Report is about (when test ordered). | ||||
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Σ | 1..1 | dateTime | Composition editing time | ||||
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Σ | 1..* | Reference(US Pathology Related Practitioner Role) | Who and/or what authored the Report | ||||
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Σ | 1..1 | string | CAP Form Title | ||||
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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. | ||||
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0..* | BackboneElement | Attests the report accuracy | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
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0..1 | dateTime | When the composition was attested | |||||
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0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
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Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (required) | ||||
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Σ | 0..1 | Period | The period covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
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SC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Title should be the display of the section code | |||||
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0..1 | CodeableConcept | CAP Form Section Identifier Binding: CAP eCP Section Codes (extensible) | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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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. | ||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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Path | Conformance | ValueSet | URI | |||
Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
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Composition.extension:diagnosticReport-reference.value[x].type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard | ||||
Composition.type | extensible | CAPeCPFormCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes From this IG | ||||
Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes From the FHIR Standard | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 From the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard | ||||
Composition.event.code | required | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0 | ||||
Composition.section.code | extensible | CAPeCPSectionCodeshttp://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-section-codes From this IG | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order From the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron