CH ELM (R4)
1.16.0 - ci-build
CH ELM (R4)
1.16.0 - ci-build
CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.16.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-composition-strict | Version: 1.16.0 | ||||
| Active as of 2026-10-22 | Computable Name: ChElmCompositionStrict | ||||
Copyright/Legal: CC0-1.0 |
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This CH ELM Composition profile constrains that the section codes have corresponding observation value codes
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Composition |
0..* | ChElmComposition | CH ELM Composition: Laboratory Report This profile also imposes the profile Composition: Laboratory Report | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:information-recipient |
0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
   extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
 url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |
| extension:basedOn-order-or-requisition |
0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |
 Slices for value[x] |
0..1 | Value of extension Slice: Unordered, Open by type:$this | ||
   valueIdentifier |
Identifier | |||
  valueReference |
Reference(ServiceRequest) | |||
 Slices for value[x] |
Content/Rules for all slices | |||
 value[x]:valueReference |
0..1 | Reference(CH LAB-Report ServiceRequest: Laboratory Order) | Value of extension | |
 extension:diagnosticReport-reference |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |
| value[x] |
1..1 | Reference(CH LAB-Report DiagnosticReport: Laboratory Report) | Value of extension | |
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |
| value |
C | 1..1 | string | The value that is unique Constraints: ch-elm-doc-identifier Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final (extensions allowed) | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | |
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |
| category:studyType |
0..* | CodeableConceptIPS(2.0.0)  |
The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required) | |
| category:specialty |
0..* | CodeableConceptIPS(2.0.0) |
The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required) | |
| subject |
1..1 | Reference(CH ELM Patient) | Who and/or what the composition is about | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| date |
1..1 | dateTime | Composition editing time | |
| author |
1..1 | Reference(CH ELM Organization: Author) | Who and/or what authored the composition | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| title |
1..1 | string | Human Readable name/title | |
 Slices for section |
C | 1..1 | BackboneElement | Composition is broken into sections Slice: Unordered, Closed by exists:$this.section, exists:$this.entry, value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
 section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| section:lab-no-subsections |
C | 0..1 | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Laboratory Study Types (preferred) Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbiology studies (set) strict) | A reference to data that supports this section |
| section:annotations |
C | 0..1 | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| text |
C | 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 |
| section:lab-mst |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbial susceptibility tests (strict)) | A reference to data that supports this section |
| section:lab-gt |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Genotyping (strict)) | A reference to data that supports this section |
| section:lab-sero |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for HIV Recency Testing (strict)) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.section.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:annotations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | Composition.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | 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:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ChElmComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
ChElmComposition | This profile also imposes the profile Composition: Laboratory Report | ||
| Slices for section |
Content/Rules for all slices | |||
| section:lab-no-subsections |
0..1 | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections | |
| entry |
1..1 | Reference(CH ELM Observation Results for Microbiology studies (set) strict) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | ChElmComposition | CH ELM Composition: Laboratory Report This profile also imposes the profile Composition: Laboratory Report | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:information-recipient |
0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
| value[x] |
0..1 | Reference(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization) | Value of extension | |||||
| extension:basedOn-order-or-requisition |
0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||
| Slices for value[x] |
0..1 | Value of extension Slice: Unordered, Open by type:$this | ||||||
| valueIdentifier |
Identifier | |||||||
| valueReference |
Reference(ServiceRequest) | |||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||
| value[x]:valueReference |
0..1 | Reference(CH LAB-Report ServiceRequest: Laboratory Order) | Value of extension | |||||
| extension:diagnosticReport-reference |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||
| value[x] |
1..1 | Reference(CH LAB-Report DiagnosticReport: Laboratory Report) | Value of extension | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |||||
| value |
C | 1..1 | string | The value that is unique Constraints: ch-elm-doc-identifier Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final (extensions allowed) | |||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | |||||
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||
| category:studyType |
0..* | CodeableConceptIPS(2.0.0) |
The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required) | |||||
| category:specialty |
0..* | CodeableConceptIPS(2.0.0) |
The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required) | |||||
| subject |
1..1 | Reference(CH ELM Patient) | Who and/or what the composition is about | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(CH Core Encounter) | Context of the Composition | |||||
| date |
1..1 | dateTime | Composition editing time | |||||
| author |
1..1 | Reference(CH ELM Organization: Author) | Who and/or what authored the composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| title |
1..1 | string | Human Readable name/title | |||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(CH Core Patient | CH Core RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) | Who attested the composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| custodian |
0..1 | Reference(CH Core Organization) | Organization which maintains the composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(CH Core Composition) | |||||||
| event |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
0..1 | Period | The period covered by the documentation | |||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||
| Slices for section |
C | 1..1 | BackboneElement | Composition is broken into sections Slice: Unordered, Closed by exists:$this.section, exists:$this.entry, value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:lab-no-subsections |
C | 0..1 | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Laboratory Study Types (preferred) Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbiology studies (set) strict) | 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:annotations |
C | 0..1 | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core 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 | 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 | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:lab-mst |
C | 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 |
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. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbial susceptibility tests (strict)) | 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:lab-gt |
C | 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 |
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. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Genotyping (strict)) | 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:lab-sero |
C | 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 |
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. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for HIV Recency Testing (strict)) | 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. | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.extension:diagnosticReport-reference.value[x].type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester.party.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.custodian.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.4 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-no-subsections.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.section.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | Composition.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | 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:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ChElmComposition
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | ChElmComposition | CH ELM Composition: Laboratory Report This profile also imposes the profile Composition: Laboratory Report | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:information-recipient |
0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |
| extension:basedOn-order-or-requisition |
0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |
| Slices for value[x] |
0..1 | Value of extension Slice: Unordered, Open by type:$this | ||
| valueIdentifier |
Identifier | |||
| valueReference |
Reference(ServiceRequest) | |||
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueReference |
0..1 | Reference(CH LAB-Report ServiceRequest: Laboratory Order) | Value of extension | |
| extension:diagnosticReport-reference |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |
| value[x] |
1..1 | Reference(CH LAB-Report DiagnosticReport: Laboratory Report) | Value of extension | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |
| value |
C | 1..1 | string | The value that is unique Constraints: ch-elm-doc-identifier Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final (extensions allowed) | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | |
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |
| category:studyType |
0..* | CodeableConceptIPS(2.0.0) |
The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required) | |
| category:specialty |
0..* | CodeableConceptIPS(2.0.0) |
The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required) | |
| subject |
1..1 | Reference(CH ELM Patient) | Who and/or what the composition is about | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| date |
1..1 | dateTime | Composition editing time | |
| author |
1..1 | Reference(CH ELM Organization: Author) | Who and/or what authored the composition | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| title |
1..1 | string | Human Readable name/title | |
| Slices for section |
C | 1..1 | BackboneElement | Composition is broken into sections Slice: Unordered, Closed by exists:$this.section, exists:$this.entry, value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| section:lab-no-subsections |
C | 0..1 | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Laboratory Study Types (preferred) Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbiology studies (set) strict) | A reference to data that supports this section |
| section:annotations |
C | 0..1 | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| text |
C | 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 |
| section:lab-mst |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbial susceptibility tests (strict)) | A reference to data that supports this section |
| section:lab-gt |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Genotyping (strict)) | A reference to data that supports this section |
| section:lab-sero |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |
| entry |
C | 1..1 | Reference(CH ELM Observation Results for HIV Recency Testing (strict)) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.section.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:annotations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | Composition.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | 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:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from ChElmComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
ChElmComposition | This profile also imposes the profile Composition: Laboratory Report | ||
| Slices for section |
Content/Rules for all slices | |||
| section:lab-no-subsections |
0..1 | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections | |
| entry |
1..1 | Reference(CH ELM Observation Results for Microbiology studies (set) strict) | A reference to data that supports this section | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | ChElmComposition | CH ELM Composition: Laboratory Report This profile also imposes the profile Composition: Laboratory Report | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:information-recipient |
0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
| value[x] |
0..1 | Reference(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization) | Value of extension | |||||
| extension:basedOn-order-or-requisition |
0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||
| Slices for value[x] |
0..1 | Value of extension Slice: Unordered, Open by type:$this | ||||||
| valueIdentifier |
Identifier | |||||||
| valueReference |
Reference(ServiceRequest) | |||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||
| value[x]:valueReference |
0..1 | Reference(CH LAB-Report ServiceRequest: Laboratory Order) | Value of extension | |||||
| extension:diagnosticReport-reference |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||
| value[x] |
1..1 | Reference(CH LAB-Report DiagnosticReport: Laboratory Report) | Value of extension | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |||||
| value |
C | 1..1 | string | The value that is unique Constraints: ch-elm-doc-identifier Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final (extensions allowed) | |||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | |||||
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||
| category:studyType |
0..* | CodeableConceptIPS(2.0.0) |
The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required) | |||||
| category:specialty |
0..* | CodeableConceptIPS(2.0.0) |
The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required) | |||||
| subject |
1..1 | Reference(CH ELM Patient) | Who and/or what the composition is about | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(CH Core Encounter) | Context of the Composition | |||||
| date |
1..1 | dateTime | Composition editing time | |||||
| author |
1..1 | Reference(CH ELM Organization: Author) | Who and/or what authored the composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| title |
1..1 | string | Human Readable name/title | |||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(CH Core Patient | CH Core RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) | Who attested the composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| custodian |
0..1 | Reference(CH Core Organization) | Organization which maintains the composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(CH Core Composition) | |||||||
| event |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
0..1 | Period | The period covered by the documentation | |||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||
| Slices for section |
C | 1..1 | BackboneElement | Composition is broken into sections Slice: Unordered, Closed by exists:$this.section, exists:$this.entry, value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:lab-no-subsections |
C | 0..1 | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Laboratory Study Types (preferred) Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbiology studies (set) strict) | 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:annotations |
C | 0..1 | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core 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 | 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 | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:lab-mst |
C | 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 |
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. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Microbial susceptibility tests (strict)) | 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:lab-gt |
C | 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 |
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. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for Genotyping (strict)) | 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:lab-sero |
C | 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 |
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. Required Pattern: | |||||
| author |
0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | CH Core RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 1..1 | Reference(CH ELM Observation Results for HIV Recency Testing (strict)) | 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. | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.extension:diagnosticReport-reference.value[x].type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester.party.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.custodian.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.4 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-no-subsections.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.section.code | Base | preferred | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Composition.section:lab-subsections.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-subsections.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:annotations.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-mst.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-gt.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:lab-sero.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | Composition.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | 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:lab-no-subsections, Composition.section:annotations, Composition.section:lab-mst, Composition.section:lab-gt, Composition.section:lab-sero | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ChElmComposition
Other representations of profile: CSV, Excel, Schematron