HL7 Austria ELGA Laboratory Report R4 Implementation Guide
0.1.0 - ci-build Austria flag

HL7 Austria ELGA Laboratory Report R4 Implementation Guide, published by HL7 Austria. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/gabriel0316/test-laboratory/ and changes regularly. See the Directory of published versions

Resource Profile: AT ELGA Laboratory Report Composition

Official URL: https://fhir.hl7.at/elga-labor/StructureDefinition/at-elga-lab-composition Version: 0.1.0
Draft as of 2026-05-04 Computable Name: ATELGALabComposition

Composition profile for Austrian ELGA Laboratory Reports.

Extends the HL7 Europe Laboratory Report Composition with Austrian-specific requirements:

  • Subject SHALL reference an AT ELGA Lab Patient
  • Author SHALL reference an AT ELGA Lab Practitioner, PractitionerRole, or Organization
  • Custodian SHALL reference an AT ELGA Lab Organization (the responsible GDA)
  • Austrian language requirement (de-AT preferred)

The Composition acts as the clinical document header for the laboratory report and links to the DiagnosticReport containing the structured results.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language S 0..1 code Language of the report (de-AT preferred for Austrian reports)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... 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:$this
...... valueIdentifier Identifier
...... valueReference Reference(ServiceRequest)
...... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... extension:diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... status ?!SΣ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS(2.0.0) Report Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject SΣ 1..1 Reference(AT ELGA Laboratory Patient) The Austrian patient this laboratory report is about
... date SΣ 1..1 dateTime Date the composition was created or last updated
... author SΣ 1..* Reference(AT ELGA Laboratory Practitioner | AT ELGA Laboratory PractitionerRole | AT ELGA Laboratory Organization | Device | RelatedPerson | Patient) Author of the laboratory report (GDA or responsible practitioner)
... title SΣ 1..1 string Human-readable label (e.g., 'Laboratoriumsbefund')
... custodian SΣ 0..1 Reference(AT ELGA Laboratory Organization) Austrian GDA (Gesundheitsdiensteanbieter) responsible for this report
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
.... section:lab-no-subsections C 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:lab-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... section C 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
...... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:annotations C 0..* BackboneElement Annotation comment
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
....... 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
..... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
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.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations 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:lab-subsections, Composition.section:annotations 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 CompositionLabReportEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
... language S 0..1 code Language of the report (de-AT preferred for Austrian reports)
... status S 1..1 code Status of the Report
... subject S 1..1 Reference(AT ELGA Laboratory Patient) The Austrian patient this laboratory report is about
... author S 1..* Reference(AT ELGA Laboratory Practitioner | AT ELGA Laboratory PractitionerRole | AT ELGA Laboratory Organization | Device | RelatedPerson | Patient) Author of the laboratory report (GDA or responsible practitioner)
... title S 1..1 string Human-readable label (e.g., 'Laboratoriumsbefund')
... custodian S 0..1 Reference(AT ELGA Laboratory Organization) Austrian GDA (Gesundheitsdiensteanbieter) responsible for this report

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... 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)
...... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
.... 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(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) 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(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 ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!SΣ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS(2.0.0) Report Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject SΣ 1..1 Reference(AT ELGA Laboratory Patient) The Austrian patient this laboratory report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... date SΣ 1..1 dateTime Date the composition was created or last updated
... author SΣ 1..* Reference(AT ELGA Laboratory Practitioner | AT ELGA Laboratory PractitionerRole | AT ELGA Laboratory Organization | Device | RelatedPerson | Patient) Author of the laboratory report (GDA or responsible practitioner)
... title SΣ 1..1 string Human-readable label (e.g., 'Laboratoriumsbefund')
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester 0..* BackboneElement Attests the report accuracy
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... custodian SΣ 0..1 Reference(AT ELGA Laboratory Organization) Austrian GDA (Gesundheitsdiensteanbieter) responsible for this report
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The laboratory service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period Period of time covered by the documentation
.... detail Σ 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) 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
..... 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..* 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 1..* Reference(Observation Results: laboratory) 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-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
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 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... 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
..... 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 C 1..* BackboneElement Nested Section
...... 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 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text C 0..1 Narrative Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry C 1..* Reference(Observation Results: laboratory) 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..* 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
....... 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
..... 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 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.

doco Documentation for this format

Terminology Bindings

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.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
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.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍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 v7.1
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.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations 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:lab-subsections, Composition.section:annotations 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language S 0..1 code Language of the report (de-AT preferred for Austrian reports)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... 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:$this
...... valueIdentifier Identifier
...... valueReference Reference(ServiceRequest)
...... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... extension:diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... status ?!SΣ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS(2.0.0) Report Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject SΣ 1..1 Reference(AT ELGA Laboratory Patient) The Austrian patient this laboratory report is about
... date SΣ 1..1 dateTime Date the composition was created or last updated
... author SΣ 1..* Reference(AT ELGA Laboratory Practitioner | AT ELGA Laboratory PractitionerRole | AT ELGA Laboratory Organization | Device | RelatedPerson | Patient) Author of the laboratory report (GDA or responsible practitioner)
... title SΣ 1..1 string Human-readable label (e.g., 'Laboratoriumsbefund')
... custodian SΣ 0..1 Reference(AT ELGA Laboratory Organization) Austrian GDA (Gesundheitsdiensteanbieter) responsible for this report
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
.... section:lab-no-subsections C 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:lab-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... section C 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
...... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:annotations C 0..* BackboneElement Annotation comment
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
....... 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
..... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
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.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations 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:lab-subsections, Composition.section:annotations 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 CompositionLabReportEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
... language S 0..1 code Language of the report (de-AT preferred for Austrian reports)
... status S 1..1 code Status of the Report
... subject S 1..1 Reference(AT ELGA Laboratory Patient) The Austrian patient this laboratory report is about
... author S 1..* Reference(AT ELGA Laboratory Practitioner | AT ELGA Laboratory PractitionerRole | AT ELGA Laboratory Organization | Device | RelatedPerson | Patient) Author of the laboratory report (GDA or responsible practitioner)
... title S 1..1 string Human-readable label (e.g., 'Laboratoriumsbefund')
... custodian S 0..1 Reference(AT ELGA Laboratory Organization) Austrian GDA (Gesundheitsdiensteanbieter) responsible for this report

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... 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)
...... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
.... 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(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) 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(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 ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!SΣ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS(2.0.0) Report Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject SΣ 1..1 Reference(AT ELGA Laboratory Patient) The Austrian patient this laboratory report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... date SΣ 1..1 dateTime Date the composition was created or last updated
... author SΣ 1..* Reference(AT ELGA Laboratory Practitioner | AT ELGA Laboratory PractitionerRole | AT ELGA Laboratory Organization | Device | RelatedPerson | Patient) Author of the laboratory report (GDA or responsible practitioner)
... title SΣ 1..1 string Human-readable label (e.g., 'Laboratoriumsbefund')
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester 0..* BackboneElement Attests the report accuracy
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... custodian SΣ 0..1 Reference(AT ELGA Laboratory Organization) Austrian GDA (Gesundheitsdiensteanbieter) responsible for this report
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The laboratory service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period Period of time covered by the documentation
.... detail Σ 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) 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
..... 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..* 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 1..* Reference(Observation Results: laboratory) 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-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
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 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... 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
..... 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 C 1..* BackboneElement Nested Section
...... 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 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text C 0..1 Narrative Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
...... entry C 1..* Reference(Observation Results: laboratory) 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..* 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
....... 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
..... 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 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.

doco Documentation for this format

Terminology Bindings

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.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
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.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍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 v7.1
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.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations 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:lab-subsections, Composition.section:annotations 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()

 

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