Lithuanian Laboratory Implementation Guide
0.0.1 - ci-build Lithuania vėliava

Lithuanian Laboratory Implementation Guide, published by Lithuanian Medical Library. 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/HL7LT/ig-lt-lab/ and changes regularly. See the Directory of published versions

Resursų profilis: Composition: Pathology Document (LT Lab)

Oficialus URL: https://hl7.lt/fhir/lab/StructureDefinition/pathology-composition-lt-lab Versija: 0.1.0
Mašiniškai apdorojamas pavadinimas: PathologyCompositionLtLab

Synoptic pathology Composition with four fixed LOINC-coded sections (Pre-Analytic, Macro, Micro, Synthesis). Each top-level section and each nested subsection must carry a human-readable Narrative for clinicians, alongside references to supporting resources.

Usages:

You can also check for usages in the FHIR IG Statistics

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NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLt(0.3.0) Pathology synoptic composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Optional document-level human-readable summary of the whole synoptic composition (helps generic renderers display structure when nested section HTML is not expanded).
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Constraints: ext-1
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEu
... version SΣ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type SΣ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
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://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371528001
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology report (record artifact)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.

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: 26436-6
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory Studies (set)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the composition is about
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(PractitionerLt(0.3.0) | OrganizationLt(0.3.0)) Who and/or what authored the composition
... name SΣ 0..1 string Name for this Composition (computer friendly)
... title SΣ 1..1 string Human Readable name/title
.... Slices for extension Content/Rules for all slices
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
... note S 0..* Annotation For any additional notes
... Slices for section SC 4..4 BackboneElement Composition is broken into sections
Slice: Ordered, Closed 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
Constraints: ext-1
..... title S 0..1 string Label for section (e.g. for ToC)
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 0..* See section (Composition) Nested Section
.... section:preAnalytic SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Section title (e.g. Pre-Analytic (Clinical Context))
..... code S 1..1 CodeableConcept Fixed LOINC for pathology relevant history
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: 22636-5
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report relevant history 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for the pre-analytic phase: order, procedure, and specimen provenance.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Subsection for each referenced resource (order, procedure, specimen, etc.)
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative describing the subsection content next to the entry reference.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section
.... section:macroscopic SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 74574-5
....... display 1..1 string Representation defined by the system
Fixed Value: Macroscopic observation [Interpretation] in Specimen 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for gross description, adequacy, blocks, and histology processing.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative for each macroscopic or processing subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section
.... section:microscopic SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 660-1
....... display 1..1 string Representation defined by the system
Fixed Value: Microscopic observation [Identifier] in Specimen by Dark field examination
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for microscopic findings and immunohistochemistry.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative for each microscopic or IHC subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section
.... section:synthesis SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 22637-3
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report final diagnosis 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for the integrated conclusion and staging.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative for each synthesis subsection (e.g. signed report, staging Condition).
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍5.0.0 FHIR Std.
Composition.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
Composition.section.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Composition.implicitRules, Composition.text, Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.url, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.name, Composition.title, Composition.title.extension:translation, Composition.note, Composition.section, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.entry, Composition.section.section, Composition.section:preAnalytic, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.title, Composition.section:preAnalytic.code, Composition.section:preAnalytic.author, Composition.section:preAnalytic.text, Composition.section:preAnalytic.text.status, Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.entry, Composition.section:preAnalytic.section, Composition.section:preAnalytic.section.modifierExtension, Composition.section:preAnalytic.section.title, Composition.section:preAnalytic.section.text, Composition.section:preAnalytic.section.text.status, Composition.section:preAnalytic.section.text.div, Composition.section:preAnalytic.section.entry, Composition.section:macroscopic, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.title, Composition.section:macroscopic.code, Composition.section:macroscopic.author, Composition.section:macroscopic.text, Composition.section:macroscopic.text.status, Composition.section:macroscopic.text.div, Composition.section:macroscopic.entry, Composition.section:macroscopic.section, Composition.section:macroscopic.section.modifierExtension, Composition.section:macroscopic.section.title, Composition.section:macroscopic.section.text, Composition.section:macroscopic.section.text.status, Composition.section:macroscopic.section.text.div, Composition.section:macroscopic.section.entry, Composition.section:microscopic, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.title, Composition.section:microscopic.code, Composition.section:microscopic.author, Composition.section:microscopic.text, Composition.section:microscopic.text.status, Composition.section:microscopic.text.div, Composition.section:microscopic.entry, Composition.section:microscopic.section, Composition.section:microscopic.section.modifierExtension, Composition.section:microscopic.section.title, Composition.section:microscopic.section.text, Composition.section:microscopic.section.text.status, Composition.section:microscopic.section.text.div, Composition.section:microscopic.section.entry, Composition.section:synthesis, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.title, Composition.section:synthesis.code, Composition.section:synthesis.author, Composition.section:synthesis.text, Composition.section:synthesis.text.status, Composition.section:synthesis.text.div, Composition.section:synthesis.entry, Composition.section:synthesis.section, Composition.section:synthesis.section.modifierExtension, Composition.section:synthesis.section.title, Composition.section:synthesis.section.text, Composition.section:synthesis.section.text.status, Composition.section:synthesis.section.text.div, Composition.section:synthesis.section.entry All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.title.extension:translation, Composition.section.modifierExtension, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.section.modifierExtension, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.section.modifierExtension, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.section.modifierExtension, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.section.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
txt-1 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL have some non-whitespace content htmlChecks()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLt(0.3.0) Pathology synoptic composition
... text S 0..1 Narrative Optional document-level human-readable summary of the whole synoptic composition (helps generic renderers display structure when nested section HTML is not expanded).
... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
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://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371528001
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology report (record artifact)
... category 1..* CodeableConcept Categorization of Composition
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: 26436-6
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory Studies (set)
... author 1..* Reference(PractitionerLt(0.3.0) | OrganizationLt(0.3.0)) Who and/or what authored the composition
... Slices for section 4..4 BackboneElement Composition is broken into sections
Slice: Ordered, Closed by value:code
.... section:preAnalytic S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Section title (e.g. Pre-Analytic (Clinical Context))
..... code 1..1 CodeableConcept Fixed LOINC for pathology relevant history
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: 22636-5
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report relevant history Narrative
..... text S 1..1 Narrative Overview narrative for the pre-analytic phase: order, procedure, and specimen provenance.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Subsection for each referenced resource (order, procedure, specimen, etc.)
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative describing the subsection content next to the entry reference.
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section
.... section:macroscopic S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 74574-5
....... display 1..1 string Representation defined by the system
Fixed Value: Macroscopic observation [Interpretation] in Specimen Narrative
..... text S 1..1 Narrative Overview narrative for gross description, adequacy, blocks, and histology processing.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Nested Section
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative for each macroscopic or processing subsection.
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section
.... section:microscopic S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 660-1
....... display 1..1 string Representation defined by the system
Fixed Value: Microscopic observation [Identifier] in Specimen by Dark field examination
..... text S 1..1 Narrative Overview narrative for microscopic findings and immunohistochemistry.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Nested Section
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative for each microscopic or IHC subsection.
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section
.... section:synthesis S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 22637-3
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report final diagnosis Narrative
..... text S 1..1 Narrative Overview narrative for the integrated conclusion and staging.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Nested Section
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative for each synthesis subsection (e.g. signed report, staging Condition).
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLt(0.3.0) Pathology synoptic composition
... 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
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text S 0..1 Narrative Optional document-level human-readable summary of the whole synoptic composition (helps generic renderers display structure when nested section HTML is not expanded).
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
Constraints: ext-1
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Constraints: ext-1
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEu
... identifier Σ 0..* Identifier Report identifier
... version SΣ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type SΣ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
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://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371528001
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology report (record artifact)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.

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: 26436-6
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory Studies (set)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the composition is about
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... useContext Σ 0..* UsageContext The context that the content is intended to support
... author SΣ 1..* Reference(PractitionerLt(0.3.0) | OrganizationLt(0.3.0)) Who and/or what authored the composition
... name SΣ 0..1 string Name for this Composition (computer friendly)
... title SΣ 1..1 string Human Readable name/title
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
.... value 0..1 string Primitive value for string
Max Length:1048576
... note S 0..* Annotation For any additional notes
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... mode 1..1 CodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): 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..* RelatedArtifact Relationships to other compositions/documents
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* CodeableReference(Resource) The event(s) being documented, as code(s), reference(s), or both
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
... Slices for section SC 4..4 BackboneElement Composition is broken into sections
Slice: Ordered, Closed 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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 0..1 string Label for section (e.g. for ToC)
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 0..* See section (Composition) Nested Section
.... section:preAnalytic SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Section title (e.g. Pre-Analytic (Clinical Context))
..... code S 1..1 CodeableConcept Fixed LOINC for pathology relevant history
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: 22636-5
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report relevant history 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for the pre-analytic phase: order, procedure, and specimen provenance.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Subsection for each referenced resource (order, procedure, specimen, etc.)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative describing the subsection content next to the entry reference.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section
.... section:macroscopic SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 74574-5
....... display 1..1 string Representation defined by the system
Fixed Value: Macroscopic observation [Interpretation] in Specimen 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for gross description, adequacy, blocks, and histology processing.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative for each macroscopic or processing subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section
.... section:microscopic SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 660-1
....... display 1..1 string Representation defined by the system
Fixed Value: Microscopic observation [Identifier] in Specimen by Dark field examination
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for microscopic findings and immunohistochemistry.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative for each microscopic or IHC subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section
.... section:synthesis SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 22637-3
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report final diagnosis 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for the integrated conclusion and staging.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative for each synthesis subsection (e.g. signed report, staging Condition).
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base required All Languages 📍5.0.0 FHIR Std.
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍5.0.0 FHIR Std.
Composition.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
Composition.attester.​mode Base preferred Composition Attestation Mode 📍5.0.0 FHIR Std.
Composition.event.detail Base example v3 Code System ActCode 📍3.0.0 THO v7.1
Composition.section.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:microscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:synthesis.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.url, Composition.identifier, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.useContext, Composition.author, Composition.name, Composition.title, Composition.title.extension, Composition.title.extension:translation, Composition.note, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section, Composition.section:preAnalytic, Composition.section:preAnalytic.extension, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.title, Composition.section:preAnalytic.code, Composition.section:preAnalytic.author, Composition.section:preAnalytic.focus, Composition.section:preAnalytic.text, Composition.section:preAnalytic.text.extension, Composition.section:preAnalytic.text.status, Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.orderedBy, Composition.section:preAnalytic.entry, Composition.section:preAnalytic.emptyReason, Composition.section:preAnalytic.section, Composition.section:preAnalytic.section.extension, Composition.section:preAnalytic.section.modifierExtension, Composition.section:preAnalytic.section.title, Composition.section:preAnalytic.section.code, Composition.section:preAnalytic.section.author, Composition.section:preAnalytic.section.focus, Composition.section:preAnalytic.section.text, Composition.section:preAnalytic.section.text.extension, Composition.section:preAnalytic.section.text.status, Composition.section:preAnalytic.section.text.div, Composition.section:preAnalytic.section.orderedBy, Composition.section:preAnalytic.section.entry, Composition.section:preAnalytic.section.emptyReason, Composition.section:preAnalytic.section.section, Composition.section:macroscopic, Composition.section:macroscopic.extension, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.title, Composition.section:macroscopic.code, Composition.section:macroscopic.author, Composition.section:macroscopic.focus, Composition.section:macroscopic.text, Composition.section:macroscopic.text.extension, Composition.section:macroscopic.text.status, Composition.section:macroscopic.text.div, Composition.section:macroscopic.orderedBy, Composition.section:macroscopic.entry, Composition.section:macroscopic.emptyReason, Composition.section:macroscopic.section, Composition.section:macroscopic.section.extension, Composition.section:macroscopic.section.modifierExtension, Composition.section:macroscopic.section.title, Composition.section:macroscopic.section.code, Composition.section:macroscopic.section.author, Composition.section:macroscopic.section.focus, Composition.section:macroscopic.section.text, Composition.section:macroscopic.section.text.extension, Composition.section:macroscopic.section.text.status, Composition.section:macroscopic.section.text.div, Composition.section:macroscopic.section.orderedBy, Composition.section:macroscopic.section.entry, Composition.section:macroscopic.section.emptyReason, Composition.section:macroscopic.section.section, Composition.section:microscopic, Composition.section:microscopic.extension, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.title, Composition.section:microscopic.code, Composition.section:microscopic.author, Composition.section:microscopic.focus, Composition.section:microscopic.text, Composition.section:microscopic.text.extension, Composition.section:microscopic.text.status, Composition.section:microscopic.text.div, Composition.section:microscopic.orderedBy, Composition.section:microscopic.entry, Composition.section:microscopic.emptyReason, Composition.section:microscopic.section, Composition.section:microscopic.section.extension, Composition.section:microscopic.section.modifierExtension, Composition.section:microscopic.section.title, Composition.section:microscopic.section.code, Composition.section:microscopic.section.author, Composition.section:microscopic.section.focus, Composition.section:microscopic.section.text, Composition.section:microscopic.section.text.extension, Composition.section:microscopic.section.text.status, Composition.section:microscopic.section.text.div, Composition.section:microscopic.section.orderedBy, Composition.section:microscopic.section.entry, Composition.section:microscopic.section.emptyReason, Composition.section:microscopic.section.section, Composition.section:synthesis, Composition.section:synthesis.extension, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.title, Composition.section:synthesis.code, Composition.section:synthesis.author, Composition.section:synthesis.focus, Composition.section:synthesis.text, Composition.section:synthesis.text.extension, Composition.section:synthesis.text.status, Composition.section:synthesis.text.div, Composition.section:synthesis.orderedBy, Composition.section:synthesis.entry, Composition.section:synthesis.emptyReason, Composition.section:synthesis.section, Composition.section:synthesis.section.extension, Composition.section:synthesis.section.modifierExtension, Composition.section:synthesis.section.title, Composition.section:synthesis.section.code, Composition.section:synthesis.section.author, Composition.section:synthesis.section.focus, Composition.section:synthesis.section.text, Composition.section:synthesis.section.text.extension, Composition.section:synthesis.section.text.status, Composition.section:synthesis.section.text.div, Composition.section:synthesis.section.orderedBy, Composition.section:synthesis.section.entry, Composition.section:synthesis.section.emptyReason, Composition.section:synthesis.section.section All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.extension, Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.title.extension, Composition.title.extension:translation, Composition.attester.extension, Composition.attester.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension, Composition.section:preAnalytic.extension, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.text.extension, Composition.section:preAnalytic.section.extension, Composition.section:preAnalytic.section.modifierExtension, Composition.section:preAnalytic.section.text.extension, Composition.section:macroscopic.extension, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.text.extension, Composition.section:macroscopic.section.extension, Composition.section:macroscopic.section.modifierExtension, Composition.section:macroscopic.section.text.extension, Composition.section:microscopic.extension, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.text.extension, Composition.section:microscopic.section.extension, Composition.section:microscopic.section.modifierExtension, Composition.section:microscopic.section.text.extension, Composition.section:synthesis.extension, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.text.extension, Composition.section:synthesis.section.extension, Composition.section:synthesis.section.modifierExtension, Composition.section:synthesis.section.text.extension Must have either extensions or value[x], not both extension.exists() != value.exists()
txt-1 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL have some non-whitespace content htmlChecks()

Summary

Mandatory: 32 elements
Must-Support: 37 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section (ordered, Closed)

Pagrindinių elementų peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLt(0.3.0) Pathology synoptic composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Optional document-level human-readable summary of the whole synoptic composition (helps generic renderers display structure when nested section HTML is not expanded).
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Constraints: ext-1
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEu
... version SΣ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type SΣ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
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://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371528001
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology report (record artifact)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.

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: 26436-6
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory Studies (set)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the composition is about
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(PractitionerLt(0.3.0) | OrganizationLt(0.3.0)) Who and/or what authored the composition
... name SΣ 0..1 string Name for this Composition (computer friendly)
... title SΣ 1..1 string Human Readable name/title
.... Slices for extension Content/Rules for all slices
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
... note S 0..* Annotation For any additional notes
... Slices for section SC 4..4 BackboneElement Composition is broken into sections
Slice: Ordered, Closed 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
Constraints: ext-1
..... title S 0..1 string Label for section (e.g. for ToC)
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 0..* See section (Composition) Nested Section
.... section:preAnalytic SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Section title (e.g. Pre-Analytic (Clinical Context))
..... code S 1..1 CodeableConcept Fixed LOINC for pathology relevant history
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: 22636-5
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report relevant history 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for the pre-analytic phase: order, procedure, and specimen provenance.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Subsection for each referenced resource (order, procedure, specimen, etc.)
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative describing the subsection content next to the entry reference.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section
.... section:macroscopic SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 74574-5
....... display 1..1 string Representation defined by the system
Fixed Value: Macroscopic observation [Interpretation] in Specimen 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for gross description, adequacy, blocks, and histology processing.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative for each macroscopic or processing subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section
.... section:microscopic SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 660-1
....... display 1..1 string Representation defined by the system
Fixed Value: Microscopic observation [Identifier] in Specimen by Dark field examination
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for microscopic findings and immunohistochemistry.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative for each microscopic or IHC subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section
.... section:synthesis SC 1..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 22637-3
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report final diagnosis 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who and/or what authored the section
..... text SC 1..1 Narrative Overview narrative for the integrated conclusion and staging.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... section S 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... text SC 1..1 Narrative Narrative for each synthesis subsection (e.g. signed report, staging Condition).
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... entry SC 1..* Reference(Resource) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍5.0.0 FHIR Std.
Composition.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
Composition.section.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Composition.implicitRules, Composition.text, Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.url, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.name, Composition.title, Composition.title.extension:translation, Composition.note, Composition.section, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.entry, Composition.section.section, Composition.section:preAnalytic, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.title, Composition.section:preAnalytic.code, Composition.section:preAnalytic.author, Composition.section:preAnalytic.text, Composition.section:preAnalytic.text.status, Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.entry, Composition.section:preAnalytic.section, Composition.section:preAnalytic.section.modifierExtension, Composition.section:preAnalytic.section.title, Composition.section:preAnalytic.section.text, Composition.section:preAnalytic.section.text.status, Composition.section:preAnalytic.section.text.div, Composition.section:preAnalytic.section.entry, Composition.section:macroscopic, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.title, Composition.section:macroscopic.code, Composition.section:macroscopic.author, Composition.section:macroscopic.text, Composition.section:macroscopic.text.status, Composition.section:macroscopic.text.div, Composition.section:macroscopic.entry, Composition.section:macroscopic.section, Composition.section:macroscopic.section.modifierExtension, Composition.section:macroscopic.section.title, Composition.section:macroscopic.section.text, Composition.section:macroscopic.section.text.status, Composition.section:macroscopic.section.text.div, Composition.section:macroscopic.section.entry, Composition.section:microscopic, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.title, Composition.section:microscopic.code, Composition.section:microscopic.author, Composition.section:microscopic.text, Composition.section:microscopic.text.status, Composition.section:microscopic.text.div, Composition.section:microscopic.entry, Composition.section:microscopic.section, Composition.section:microscopic.section.modifierExtension, Composition.section:microscopic.section.title, Composition.section:microscopic.section.text, Composition.section:microscopic.section.text.status, Composition.section:microscopic.section.text.div, Composition.section:microscopic.section.entry, Composition.section:synthesis, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.title, Composition.section:synthesis.code, Composition.section:synthesis.author, Composition.section:synthesis.text, Composition.section:synthesis.text.status, Composition.section:synthesis.text.div, Composition.section:synthesis.entry, Composition.section:synthesis.section, Composition.section:synthesis.section.modifierExtension, Composition.section:synthesis.section.title, Composition.section:synthesis.section.text, Composition.section:synthesis.section.text.status, Composition.section:synthesis.section.text.div, Composition.section:synthesis.section.entry All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.title.extension:translation, Composition.section.modifierExtension, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.section.modifierExtension, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.section.modifierExtension, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.section.modifierExtension, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.section.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
txt-1 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL have some non-whitespace content htmlChecks()

Skirtumų rinkinių peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLt(0.3.0) Pathology synoptic composition
... text S 0..1 Narrative Optional document-level human-readable summary of the whole synoptic composition (helps generic renderers display structure when nested section HTML is not expanded).
... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
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://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371528001
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology report (record artifact)
... category 1..* CodeableConcept Categorization of Composition
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: 26436-6
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory Studies (set)
... author 1..* Reference(PractitionerLt(0.3.0) | OrganizationLt(0.3.0)) Who and/or what authored the composition
... Slices for section 4..4 BackboneElement Composition is broken into sections
Slice: Ordered, Closed by value:code
.... section:preAnalytic S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Section title (e.g. Pre-Analytic (Clinical Context))
..... code 1..1 CodeableConcept Fixed LOINC for pathology relevant history
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: 22636-5
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report relevant history Narrative
..... text S 1..1 Narrative Overview narrative for the pre-analytic phase: order, procedure, and specimen provenance.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Subsection for each referenced resource (order, procedure, specimen, etc.)
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative describing the subsection content next to the entry reference.
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section
.... section:macroscopic S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 74574-5
....... display 1..1 string Representation defined by the system
Fixed Value: Macroscopic observation [Interpretation] in Specimen Narrative
..... text S 1..1 Narrative Overview narrative for gross description, adequacy, blocks, and histology processing.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Nested Section
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative for each macroscopic or processing subsection.
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section
.... section:microscopic S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 660-1
....... display 1..1 string Representation defined by the system
Fixed Value: Microscopic observation [Identifier] in Specimen by Dark field examination
..... text S 1..1 Narrative Overview narrative for microscopic findings and immunohistochemistry.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Nested Section
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative for each microscopic or IHC subsection.
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section
.... section:synthesis S 1..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 22637-3
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report final diagnosis Narrative
..... text S 1..1 Narrative Overview narrative for the integrated conclusion and staging.
...... status S 1..1 code generated | extensions | additional | empty
...... div S 1..1 xhtml Limited xhtml content
..... section 1..* BackboneElement Nested Section
...... title S 1..1 string Label for section (e.g. for ToC)
...... text S 1..1 Narrative Narrative for each synthesis subsection (e.g. signed report, staging Condition).
....... status S 1..1 code generated | extensions | additional | empty
....... div S 1..1 xhtml Limited xhtml content
...... entry S 1..* Reference(Resource) A reference to data that supports this section

doco Documentation for this format

Momentinės kopijos peržiūraView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLt(0.3.0) Pathology synoptic composition
... 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
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text S 0..1 Narrative Optional document-level human-readable summary of the whole synoptic composition (helps generic renderers display structure when nested section HTML is not expanded).
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
Constraints: ext-1
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
Constraints: ext-1
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEu
... identifier Σ 0..* Identifier Report identifier
... version SΣ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type SΣ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
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://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371528001
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology report (record artifact)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.

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: 26436-6
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory Studies (set)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the composition is about
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Context of the Composition
... date SΣ 1..1 dateTime Composition editing time
... useContext Σ 0..* UsageContext The context that the content is intended to support
... author SΣ 1..* Reference(PractitionerLt(0.3.0) | OrganizationLt(0.3.0)) Who and/or what authored the composition
... name SΣ 0..1 string Name for this Composition (computer friendly)
... title SΣ 1..1 string Human Readable name/title
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
.... value 0..1 string Primitive value for string
Max Length:1048576
... note S 0..* Annotation For any additional notes
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... mode 1..1 CodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): 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..* RelatedArtifact Relationships to other compositions/documents
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* CodeableReference(Resource) The event(s) being documented, as code(s), reference(s), or both
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
... Slices for section SC 4..4 BackboneElement Composition is broken into sections
Slice: Ordered, Closed 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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 0..1 string Label for section (e.g. for ToC)
..... code S 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 0..* See section (Composition) Nested Section
.... section:preAnalytic SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Section title (e.g. Pre-Analytic (Clinical Context))
..... code S 1..1 CodeableConcept Fixed LOINC for pathology relevant history
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: 22636-5
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report relevant history 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for the pre-analytic phase: order, procedure, and specimen provenance.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Subsection for each referenced resource (order, procedure, specimen, etc.)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative describing the subsection content next to the entry reference.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section
.... section:macroscopic SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 74574-5
....... display 1..1 string Representation defined by the system
Fixed Value: Macroscopic observation [Interpretation] in Specimen 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for gross description, adequacy, blocks, and histology processing.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative for each macroscopic or processing subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section
.... section:microscopic SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 660-1
....... display 1..1 string Representation defined by the system
Fixed Value: Microscopic observation [Identifier] in Specimen by Dark field examination
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for microscopic findings and immunohistochemistry.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative for each microscopic or IHC subsection.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section
.... section:synthesis SC 1..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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 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: 22637-3
....... display 1..1 string Representation defined by the system
Fixed Value: Pathology report final diagnosis 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 S 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) 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 SC 1..1 Narrative Overview narrative for the integrated conclusion and staging.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
...... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 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 S 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... title S 1..1 string Label for section (e.g. for ToC)
...... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text SC 1..1 Narrative Narrative for each synthesis subsection (e.g. signed report, staging Condition).
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... status S 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
....... div SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry SC 1..* 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 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base required All Languages 📍5.0.0 FHIR Std.
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍5.0.0 FHIR Std.
Composition.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
Composition.attester.​mode Base preferred Composition Attestation Mode 📍5.0.0 FHIR Std.
Composition.event.detail Base example v3 Code System ActCode 📍3.0.0 THO v7.1
Composition.section.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:preAnalytic.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:macroscopic.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:microscopic.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:microscopic.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:synthesis.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.text.status Base required NarrativeStatus 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section:synthesis.​section.emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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:preAnalytic, Composition.section:macroscopic, Composition.section:microscopic, Composition.section:synthesis 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.url, Composition.identifier, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.useContext, Composition.author, Composition.name, Composition.title, Composition.title.extension, Composition.title.extension:translation, Composition.note, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section, Composition.section:preAnalytic, Composition.section:preAnalytic.extension, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.title, Composition.section:preAnalytic.code, Composition.section:preAnalytic.author, Composition.section:preAnalytic.focus, Composition.section:preAnalytic.text, Composition.section:preAnalytic.text.extension, Composition.section:preAnalytic.text.status, Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.orderedBy, Composition.section:preAnalytic.entry, Composition.section:preAnalytic.emptyReason, Composition.section:preAnalytic.section, Composition.section:preAnalytic.section.extension, Composition.section:preAnalytic.section.modifierExtension, Composition.section:preAnalytic.section.title, Composition.section:preAnalytic.section.code, Composition.section:preAnalytic.section.author, Composition.section:preAnalytic.section.focus, Composition.section:preAnalytic.section.text, Composition.section:preAnalytic.section.text.extension, Composition.section:preAnalytic.section.text.status, Composition.section:preAnalytic.section.text.div, Composition.section:preAnalytic.section.orderedBy, Composition.section:preAnalytic.section.entry, Composition.section:preAnalytic.section.emptyReason, Composition.section:preAnalytic.section.section, Composition.section:macroscopic, Composition.section:macroscopic.extension, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.title, Composition.section:macroscopic.code, Composition.section:macroscopic.author, Composition.section:macroscopic.focus, Composition.section:macroscopic.text, Composition.section:macroscopic.text.extension, Composition.section:macroscopic.text.status, Composition.section:macroscopic.text.div, Composition.section:macroscopic.orderedBy, Composition.section:macroscopic.entry, Composition.section:macroscopic.emptyReason, Composition.section:macroscopic.section, Composition.section:macroscopic.section.extension, Composition.section:macroscopic.section.modifierExtension, Composition.section:macroscopic.section.title, Composition.section:macroscopic.section.code, Composition.section:macroscopic.section.author, Composition.section:macroscopic.section.focus, Composition.section:macroscopic.section.text, Composition.section:macroscopic.section.text.extension, Composition.section:macroscopic.section.text.status, Composition.section:macroscopic.section.text.div, Composition.section:macroscopic.section.orderedBy, Composition.section:macroscopic.section.entry, Composition.section:macroscopic.section.emptyReason, Composition.section:macroscopic.section.section, Composition.section:microscopic, Composition.section:microscopic.extension, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.title, Composition.section:microscopic.code, Composition.section:microscopic.author, Composition.section:microscopic.focus, Composition.section:microscopic.text, Composition.section:microscopic.text.extension, Composition.section:microscopic.text.status, Composition.section:microscopic.text.div, Composition.section:microscopic.orderedBy, Composition.section:microscopic.entry, Composition.section:microscopic.emptyReason, Composition.section:microscopic.section, Composition.section:microscopic.section.extension, Composition.section:microscopic.section.modifierExtension, Composition.section:microscopic.section.title, Composition.section:microscopic.section.code, Composition.section:microscopic.section.author, Composition.section:microscopic.section.focus, Composition.section:microscopic.section.text, Composition.section:microscopic.section.text.extension, Composition.section:microscopic.section.text.status, Composition.section:microscopic.section.text.div, Composition.section:microscopic.section.orderedBy, Composition.section:microscopic.section.entry, Composition.section:microscopic.section.emptyReason, Composition.section:microscopic.section.section, Composition.section:synthesis, Composition.section:synthesis.extension, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.title, Composition.section:synthesis.code, Composition.section:synthesis.author, Composition.section:synthesis.focus, Composition.section:synthesis.text, Composition.section:synthesis.text.extension, Composition.section:synthesis.text.status, Composition.section:synthesis.text.div, Composition.section:synthesis.orderedBy, Composition.section:synthesis.entry, Composition.section:synthesis.emptyReason, Composition.section:synthesis.section, Composition.section:synthesis.section.extension, Composition.section:synthesis.section.modifierExtension, Composition.section:synthesis.section.title, Composition.section:synthesis.section.code, Composition.section:synthesis.section.author, Composition.section:synthesis.section.focus, Composition.section:synthesis.section.text, Composition.section:synthesis.section.text.extension, Composition.section:synthesis.section.text.status, Composition.section:synthesis.section.text.div, Composition.section:synthesis.section.orderedBy, Composition.section:synthesis.section.entry, Composition.section:synthesis.section.emptyReason, Composition.section:synthesis.section.section All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Composition.extension, Composition.extension:basedOn, Composition.extension:informationRecipient, Composition.modifierExtension, Composition.title.extension, Composition.title.extension:translation, Composition.attester.extension, Composition.attester.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension, Composition.section:preAnalytic.extension, Composition.section:preAnalytic.modifierExtension, Composition.section:preAnalytic.text.extension, Composition.section:preAnalytic.section.extension, Composition.section:preAnalytic.section.modifierExtension, Composition.section:preAnalytic.section.text.extension, Composition.section:macroscopic.extension, Composition.section:macroscopic.modifierExtension, Composition.section:macroscopic.text.extension, Composition.section:macroscopic.section.extension, Composition.section:macroscopic.section.modifierExtension, Composition.section:macroscopic.section.text.extension, Composition.section:microscopic.extension, Composition.section:microscopic.modifierExtension, Composition.section:microscopic.text.extension, Composition.section:microscopic.section.extension, Composition.section:microscopic.section.modifierExtension, Composition.section:microscopic.section.text.extension, Composition.section:synthesis.extension, Composition.section:synthesis.modifierExtension, Composition.section:synthesis.text.extension, Composition.section:synthesis.section.extension, Composition.section:synthesis.section.modifierExtension, Composition.section:synthesis.section.text.extension Must have either extensions or value[x], not both extension.exists() != value.exists()
txt-1 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Composition.section:preAnalytic.text.div, Composition.section:preAnalytic.section.text.div, Composition.section:macroscopic.text.div, Composition.section:macroscopic.section.text.div, Composition.section:microscopic.text.div, Composition.section:microscopic.section.text.div, Composition.section:synthesis.text.div, Composition.section:synthesis.section.text.div The narrative SHALL have some non-whitespace content htmlChecks()

Summary

Mandatory: 32 elements
Must-Support: 37 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section (ordered, Closed)

 

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