Specyfikacja interoperacyjności prototypu SSIDL
0.1.4 - ci-build
Specyfikacja interoperacyjności prototypu SSIDL
0.1.4 - ci-build
Specyfikacja interoperacyjności prototypu SSIDL, published by Uniwersytet Medyczny w Łodzi. This guide is not an authorized publication; it is the continuous build for version 0.1.4 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SSIDL/ssidl-ig/ and changes regularly. See the Directory of published versions
| Official URL: http://loinc-ssidl.umed.pl/fhir/ig/ssidl/StructureDefinition/pl-lab-composition | Version: 0.1.4 | |||
| Active as of 2025-11-28 | Computable Name: PLLabComposition | |||
Nagłówek dokumentu sprawozdania z badania laboratoryjnego
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Composition |
0..* | PLBaseComposition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:version |
S | 1..1 | string | Composition: Version URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-version |
| extension:informationRecipient |
S | 0..* | Reference(PractitionerRole: Odbiorca informacji) | Composition: Information Recipient URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-informationRecipient |
| extension:basedOnOrder |
S | 0..* | Reference(Service Request: Zlecenie usługi medycznej) | Composition: Based On Order URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-basedOnOrder |
 extension:payorIdentifier |
S | 0..1 | (Complex) | Composition: Payor Identifier URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-payorIdentifier |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
 value |
SΣC | 1..1 | string | The value that is unique Example General: 123456 |
| status |
?!Σ | 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. |
  Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
  coding:loincDocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system |
  system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.com |
 code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: FHIRDocumentTypeCodes (required) |
 coding:p1DocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://hl7.org.pl/fhir/CodeSystem/pl-p1DocumentType-CS |
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: Typ dokumentu medycznego wg P1 (PL) (required) |
 subject |
SΣ | 1..1 | Reference(Patient: Pacjent) | Who and/or what the composition is about |
| encounter |
SΣ | 1..1 | Reference(Encounter: Wizyta/pobyt) | Context of the Composition |
| date |
SΣ | 1..1 | dateTime | Composition editing time |
| author |
SΣ | 1..1 | Reference(PractitionerRole: Autor dokumentu) | Who and/or what authored the composition |
| title |
SΣ | 1..1 | string | Human Readable name/title |
| Slices for attester |
S | 1..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode |
 attester:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode |
1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. | |
| attester:legalAuthenticator |
S | 1..1 | BackboneElement | Attests to accuracy of composition |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: legal | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| time |
S | 1..1 | dateTime | When the composition was attested |
| party |
S | 1..1 | Reference(Practitioner: Pracownik medyczny) | Who attested the composition |
| attester:authenticator |
S | 0..* | BackboneElement | Attests to accuracy of composition |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: professional | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| custodian |
SΣ | 1..1 | Reference(Organization) | Organization which maintains the composition |
| Slices for relatesTo |
S | 0..* | RelatedArtifact | Relationships to other compositions/documents Slice: Unordered, Open by value:type |
| relatesTo:documentPreviousVersion |
S | 0..1 | RelatedArtifact | Relationships to other compositions/documents |
| type |
SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: predecessor |
| resourceReference |
SΣ | 1..1 | Reference(Resource) | What artifact, if not a conformance resource Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL Fixed Value: StructureDefinition/pl-base-documentIdentity | |
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources | |
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |
| display |
0..1 | string | Text alternative for the resource | |
| event |
SΣ | 0..* | BackboneElement | The clinical service(s) being documented |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| detail |
SΣ | 1..1 | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. |
| concept |
SΣ | 1..1 | CodeableConcept | Reference to a concept (by class) |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:icd9PLCode |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: Kod usługi medycznej wg ICD-9-PL (required) |
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code.system 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 |
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section |
| section:labReportSection |
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 |
| 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.com | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
SC | 1..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 |
| entry |
SC | 0..* | Reference(Observation: Laboratory Results (PL)) | A reference to data that supports this section |
| section:attachmentsSection |
SC | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Załączniki |
| 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.com | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Additional documentation | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.identifier.use | Base | required | IdentifierUse | 📍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.type.coding:loincDocumentType.code | Base | required | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| Composition.type.coding:p1DocumentType.code | Base | required | Typ dokumentu medycznego wg P1 (PL) | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| Composition.attester.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.attester:authenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.type | Base | required | RelatedArtifactType | 📍5.0.0 | FHIR Std. |
| Composition.event.detail | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.event.detail.concept.coding:icd9PLCode | Base | required | Kod usługi medycznej wg ICD-9-PL | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| Composition.section:labReportSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:labReportSection, Composition.section:attachmentsSection | 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:labReportSection, Composition.section:attachmentsSection | 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from PLBaseComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | PLBaseComposition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| Slices for section |
S | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code.system |
| section:labReportSection |
S | 1..1 | BackboneElement | Composition is broken into sections |
| code |
S | 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.com | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data | |
| text |
S | 1..1 | Narrative | Text summary of the section, for human interpretation |
| entry |
S | 0..* | Reference(Observation: Laboratory Results (PL)) | A reference to data that supports this section |
| section:attachmentsSection |
S | 0..1 | BackboneElement | Composition is broken into sections |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Załączniki |
| code |
S | 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.com | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Additional documentation | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | PLBaseComposition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: Język dokumentu medycznego (Language) (required)
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:version |
S | 1..1 | string | Composition: Version URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-version | ||||
| extension:informationRecipient |
S | 0..* | Reference(PractitionerRole: Odbiorca informacji) | Composition: Information Recipient URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-informationRecipient | ||||
| extension:basedOnOrder |
S | 0..* | Reference(Service Request: Zlecenie usługi medycznej) | Composition: Based On Order URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-basedOnOrder | ||||
| extension:payorIdentifier |
S | 0..1 | (Complex) | Composition: Payor Identifier URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-payorIdentifier | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique) | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
SΣC | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| version |
Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition | ||||
| status |
?!Σ | 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. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:loincDocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.com | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: FHIRDocumentTypeCodes (required) | ||||
| display |
ΣC | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:p1DocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://hl7.org.pl/fhir/CodeSystem/pl-p1DocumentType-CS | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: Typ dokumentu medycznego wg P1 (PL) (required) | ||||
| display |
ΣC | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject |
SΣ | 1..1 | Reference(Patient: Pacjent) | Who and/or what the composition is about | ||||
| encounter |
SΣ | 1..1 | Reference(Encounter: Wizyta/pobyt) | 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..1 | Reference(PractitionerRole: Autor dokumentu) | Who and/or what authored the composition | ||||
| name |
Σ | 0..1 | string | Name for this Composition (computer friendly) | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| note |
0..* | Annotation | For any additional notes | |||||
| Slices for attester |
S | 1..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode | ||||
| attester:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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 | |||||
| attester:legalAuthenticator |
S | 1..1 | BackboneElement | Attests to accuracy of composition | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: legal | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| time |
S | 1..1 | dateTime | When the composition was attested | ||||
| party |
S | 1..1 | Reference(Practitioner: Pracownik medyczny) | Who attested the composition | ||||
| attester:authenticator |
S | 0..* | BackboneElement | Attests to accuracy of composition | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: professional | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
SΣ | 1..1 | Reference(Organization) | Organization which maintains the composition | ||||
| Slices for relatesTo |
S | 0..* | RelatedArtifact | Relationships to other compositions/documents Slice: Unordered, Open by value:type | ||||
| relatesTo:documentPreviousVersion |
S | 0..1 | RelatedArtifact | Relationships to other compositions/documents | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: predecessor | ||||
| classifier |
Σ | 0..* | CodeableConcept | Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact. | ||||
| label |
Σ | 0..1 | string | Short label | ||||
| display |
Σ | 0..1 | string | Brief description of the related artifact | ||||
| citation |
Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
| document |
Σ | 0..1 | Attachment | What document is being referenced | ||||
| resourceReference |
SΣ | 1..1 | Reference(Resource) | What artifact, if not a conformance resource Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL Fixed Value: StructureDefinition/pl-base-documentIdentity | |||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| publicationStatus |
Σ | 0..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to. | ||||
| publicationDate |
Σ | 0..1 | date | Date of publication of the artifact being referred to | ||||
| event |
SΣ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
SΣ | 1..1 | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| concept |
SΣ | 1..1 | CodeableConcept | Reference to a concept (by class) | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:icd9PLCode |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: Kod usługi medycznej wg ICD-9-PL (required) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code.system Constraints: cmp-1, cmp-2 | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
0..* | See section (Composition) | Nested Section | |||||
| section:labReportSection |
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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..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.com | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | 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 | 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(Observation: Laboratory Results (PL)) | 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:attachmentsSection |
SC | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Załączniki | ||||
| 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.com | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Additional documentation | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
0..* | See section (Composition) | Nested Section | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | Język dokumentu medycznego (Language) | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| Composition.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Composition.identifier.type | Base | extensible | Identifier Type Codes | 📍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.type.coding:loincDocumentType.code | Base | required | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| Composition.type.coding:p1DocumentType.code | Base | required | Typ dokumentu medycznego wg P1 (PL) | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| 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.attester:legalAuthenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.attester:authenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.type | Base | required | RelatedArtifactType | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.classifier | Base | example | Citation Artifact Classifier | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.publicationStatus | Base | required | PublicationStatus | 📍5.0.0 | FHIR Std. |
| Composition.event.detail | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.event.detail.concept.coding:icd9PLCode | Base | required | Kod usługi medycznej wg ICD-9-PL | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| 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:labReportSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:labReportSection.orderedBy | Base | preferred | List Order Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:labReportSection.emptyReason | Base | preferred | List Empty Reasons | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.orderedBy | Base | preferred | List Order Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.emptyReason | Base | preferred | List Empty Reasons | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:labReportSection, Composition.section:attachmentsSection | 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:labReportSection, Composition.section:attachmentsSection | 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from PLBaseComposition
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | PLBaseComposition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:version |
S | 1..1 | string | Composition: Version URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-version |
| extension:informationRecipient |
S | 0..* | Reference(PractitionerRole: Odbiorca informacji) | Composition: Information Recipient URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-informationRecipient |
| extension:basedOnOrder |
S | 0..* | Reference(Service Request: Zlecenie usługi medycznej) | Composition: Based On Order URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-basedOnOrder |
| extension:payorIdentifier |
S | 0..1 | (Complex) | Composition: Payor Identifier URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-payorIdentifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value |
SΣC | 1..1 | string | The value that is unique Example General: 123456 |
| status |
?!Σ | 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. |
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:loincDocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.com |
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: FHIRDocumentTypeCodes (required) |
| coding:p1DocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://hl7.org.pl/fhir/CodeSystem/pl-p1DocumentType-CS |
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: Typ dokumentu medycznego wg P1 (PL) (required) |
| subject |
SΣ | 1..1 | Reference(Patient: Pacjent) | Who and/or what the composition is about |
| encounter |
SΣ | 1..1 | Reference(Encounter: Wizyta/pobyt) | Context of the Composition |
| date |
SΣ | 1..1 | dateTime | Composition editing time |
| author |
SΣ | 1..1 | Reference(PractitionerRole: Autor dokumentu) | Who and/or what authored the composition |
| title |
SΣ | 1..1 | string | Human Readable name/title |
| Slices for attester |
S | 1..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode |
| attester:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode |
1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. | |
| attester:legalAuthenticator |
S | 1..1 | BackboneElement | Attests to accuracy of composition |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: legal | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| time |
S | 1..1 | dateTime | When the composition was attested |
| party |
S | 1..1 | Reference(Practitioner: Pracownik medyczny) | Who attested the composition |
| attester:authenticator |
S | 0..* | BackboneElement | Attests to accuracy of composition |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: professional | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| custodian |
SΣ | 1..1 | Reference(Organization) | Organization which maintains the composition |
| Slices for relatesTo |
S | 0..* | RelatedArtifact | Relationships to other compositions/documents Slice: Unordered, Open by value:type |
| relatesTo:documentPreviousVersion |
S | 0..1 | RelatedArtifact | Relationships to other compositions/documents |
| type |
SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: predecessor |
| resourceReference |
SΣ | 1..1 | Reference(Resource) | What artifact, if not a conformance resource Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL Fixed Value: StructureDefinition/pl-base-documentIdentity | |
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources | |
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |
| display |
0..1 | string | Text alternative for the resource | |
| event |
SΣ | 0..* | BackboneElement | The clinical service(s) being documented |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| detail |
SΣ | 1..1 | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. |
| concept |
SΣ | 1..1 | CodeableConcept | Reference to a concept (by class) |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:icd9PLCode |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: Kod usługi medycznej wg ICD-9-PL (required) |
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code.system 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 |
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section |
| section:labReportSection |
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 |
| 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.com | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
SC | 1..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 |
| entry |
SC | 0..* | Reference(Observation: Laboratory Results (PL)) | A reference to data that supports this section |
| section:attachmentsSection |
SC | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Załączniki |
| 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.com | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Additional documentation | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.identifier.use | Base | required | IdentifierUse | 📍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.type.coding:loincDocumentType.code | Base | required | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| Composition.type.coding:p1DocumentType.code | Base | required | Typ dokumentu medycznego wg P1 (PL) | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| Composition.attester.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.attester:authenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.type | Base | required | RelatedArtifactType | 📍5.0.0 | FHIR Std. |
| Composition.event.detail | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.event.detail.concept.coding:icd9PLCode | Base | required | Kod usługi medycznej wg ICD-9-PL | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| Composition.section:labReportSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:labReportSection, Composition.section:attachmentsSection | 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:labReportSection, Composition.section:attachmentsSection | 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from PLBaseComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | PLBaseComposition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| Slices for section |
S | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code.system |
| section:labReportSection |
S | 1..1 | BackboneElement | Composition is broken into sections |
| code |
S | 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.com | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data | |
| text |
S | 1..1 | Narrative | Text summary of the section, for human interpretation |
| entry |
S | 0..* | Reference(Observation: Laboratory Results (PL)) | A reference to data that supports this section |
| section:attachmentsSection |
S | 0..1 | BackboneElement | Composition is broken into sections |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Załączniki |
| code |
S | 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.com | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Additional documentation | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | PLBaseComposition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: Język dokumentu medycznego (Language) (required)
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:version |
S | 1..1 | string | Composition: Version URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-version | ||||
| extension:informationRecipient |
S | 0..* | Reference(PractitionerRole: Odbiorca informacji) | Composition: Information Recipient URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-informationRecipient | ||||
| extension:basedOnOrder |
S | 0..* | Reference(Service Request: Zlecenie usługi medycznej) | Composition: Based On Order URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-basedOnOrder | ||||
| extension:payorIdentifier |
S | 0..1 | (Complex) | Composition: Payor Identifier URL: http://hl7.org.pl/fhir/ig/pl-base/StructureDefinition/composition-payorIdentifier | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique) | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
SΣC | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| version |
Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition | ||||
| status |
?!Σ | 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. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:loincDocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.com | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: FHIRDocumentTypeCodes (required) | ||||
| display |
ΣC | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:p1DocumentType |
SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://hl7.org.pl/fhir/CodeSystem/pl-p1DocumentType-CS | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 1..1 | code | Symbol in syntax defined by the system Binding: Typ dokumentu medycznego wg P1 (PL) (required) | ||||
| display |
ΣC | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject |
SΣ | 1..1 | Reference(Patient: Pacjent) | Who and/or what the composition is about | ||||
| encounter |
SΣ | 1..1 | Reference(Encounter: Wizyta/pobyt) | 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..1 | Reference(PractitionerRole: Autor dokumentu) | Who and/or what authored the composition | ||||
| name |
Σ | 0..1 | string | Name for this Composition (computer friendly) | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| note |
0..* | Annotation | For any additional notes | |||||
| Slices for attester |
S | 1..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode | ||||
| attester:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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 | |||||
| attester:legalAuthenticator |
S | 1..1 | BackboneElement | Attests to accuracy of composition | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: legal | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| time |
S | 1..1 | dateTime | When the composition was attested | ||||
| party |
S | 1..1 | Reference(Practitioner: Pracownik medyczny) | Who attested the composition | ||||
| attester:authenticator |
S | 0..* | BackboneElement | Attests to accuracy of composition | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | CodeableConcept | personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated 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 |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: professional | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
SΣ | 1..1 | Reference(Organization) | Organization which maintains the composition | ||||
| Slices for relatesTo |
S | 0..* | RelatedArtifact | Relationships to other compositions/documents Slice: Unordered, Open by value:type | ||||
| relatesTo:documentPreviousVersion |
S | 0..1 | RelatedArtifact | Relationships to other compositions/documents | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: predecessor | ||||
| classifier |
Σ | 0..* | CodeableConcept | Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact. | ||||
| label |
Σ | 0..1 | string | Short label | ||||
| display |
Σ | 0..1 | string | Brief description of the related artifact | ||||
| citation |
Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
| document |
Σ | 0..1 | Attachment | What document is being referenced | ||||
| resourceReference |
SΣ | 1..1 | Reference(Resource) | What artifact, if not a conformance resource Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL Fixed Value: StructureDefinition/pl-base-documentIdentity | |||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| publicationStatus |
Σ | 0..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to. | ||||
| publicationDate |
Σ | 0..1 | date | Date of publication of the artifact being referred to | ||||
| event |
SΣ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
SΣ | 1..1 | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| concept |
SΣ | 1..1 | CodeableConcept | Reference to a concept (by class) | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:icd9PLCode |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: Kod usługi medycznej wg ICD-9-PL (required) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code.system Constraints: cmp-1, cmp-2 | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
0..* | See section (Composition) | Nested Section | |||||
| section:labReportSection |
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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..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.com | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | 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 | 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(Observation: Laboratory Results (PL)) | 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:attachmentsSection |
SC | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Załączniki | ||||
| 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.com | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Additional documentation | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
0..* | See section (Composition) | Nested Section | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | Język dokumentu medycznego (Language) | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| Composition.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Composition.identifier.type | Base | extensible | Identifier Type Codes | 📍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.type.coding:loincDocumentType.code | Base | required | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| Composition.type.coding:p1DocumentType.code | Base | required | Typ dokumentu medycznego wg P1 (PL) | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| 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.attester:legalAuthenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.attester:authenticator.mode | Base | preferred | Composition Attestation Mode | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.type | Base | required | RelatedArtifactType | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.classifier | Base | example | Citation Artifact Classifier | 📍5.0.0 | FHIR Std. |
| Composition.relatesTo:documentPreviousVersion.publicationStatus | Base | required | PublicationStatus | 📍5.0.0 | FHIR Std. |
| Composition.event.detail | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.event.detail.concept.coding:icd9PLCode | Base | required | Kod usługi medycznej wg ICD-9-PL | 📦0.1.4 | Polska specyfikacja bazowa HL7 FHIR v0.1 |
| 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:labReportSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:labReportSection.orderedBy | Base | preferred | List Order Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:labReportSection.emptyReason | Base | preferred | List Empty Reasons | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.code | Base | example | Document Section Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.orderedBy | Base | preferred | List Order Codes | 📍5.0.0 | FHIR Std. |
| Composition.section:attachmentsSection.emptyReason | Base | preferred | List Empty Reasons | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:labReportSection, Composition.section:attachmentsSection | 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:labReportSection, Composition.section:attachmentsSection | 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from PLBaseComposition
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ Uniwersytet Medyczny w Łodzi. Package hl7.fhir.pl.ssidl#0.1.4 based on FHIR 5.0.0. Generated 2025-11-28
