HL7 Europe Imaging Report R4
1.0.0-ballot - qa-preview 150

HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions

Resource Profile: Composition: Imaging Report

Official URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/CompositionEuImaging Version: 1.0.0-ballot
Standards status: Draft Draft as of 2026-03-11 Maturity Level: 1 Computable Name: CompositionEuImaging

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

Clinical document used to represent a Imaging Report for the scope of the HL7 Europe project.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Imaging Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Information Recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension:diagnosticreport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 0..1 Reference(DiagnosticReport: Imaging Report) Value of extension
.... extension:version 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... Slices for category Σ 2..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:diagnostic-service Σ 0..1 CodeableConcept Categorization of Composition
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... 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
.... category:imaging Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... 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
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
... date Σ 1..1 dateTime Composition editing time
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:author Σ 0..* Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who and/or what authored the composition
.... author:authoringDevice Σ 0..* Reference(Device) Who and/or what authored the composition
.... author:organization Σ 0..* Reference(Organization (EU core)(2.0.0-recon)) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition
..... modifierExtension ?!Σ 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.
Required Pattern: legal
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
.... attester:resultValidator 0..* BackboneElement Attests to accuracy of composition
..... modifierExtension ?!Σ 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.
Required Pattern: professional
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
...... Slices for extension Content/Rules for all slices
....... extension:deviceAttester 0..1 Reference(Device) Extension: Device Attester
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/DeviceAttesterExt
... custodian Σ 0..1 Reference(Organization (EU core)(2.0.0-recon)) Organization that manages the Imaging Report
... Slices for section C 4..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2, eu-imaging-composition-1, eu-imaging-composition-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
.... section:imagingstudy C 1..1 BackboneElement Imaging Study
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18726-0
....... 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
..... Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:imagingstudy C 1..* Reference(ImagingStudy: General) Imaging Study Reference
.... section:order C 1..1 BackboneElement Order
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55115-0
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:order C 0..* Reference(ServiceRequest: Imaging Order) Order reference
.... section:history C 1..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitals C 0..* Reference(Observation) A reference to data that supports this section
...... entry:problemlist C 0..* Reference(Condition) A reference to data that supports this section
...... entry:implants C 0..* Reference(Device) A reference to data that supports this section
...... entry:medication C 0..* Reference(MedicationAdministration | MedicationRequest) A reference to data that supports this section
.... section:procedure C 1..1 BackboneElement Procedure
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
...... extension:radiationDose 0..1 string Extension: Radiation Dose
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55111-9
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:procedure C 0..* Reference(Procedure: Imaging Acquisition) The imaging Procedure(s)
...... entry:adverse-event C 0..* Reference(AdverseEvent) AdverseEvent(s)
...... entry:radiation-dose C 0..* Reference(Resource) A reference to data that supports this section
.... section:comparison C 0..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18834-2
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:comparedstudy C 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) A reference to data that supports this section
.... section:findings C 0..1 BackboneElement Findings
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 59776-5
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:finding C 0..* Reference(Observation) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
...... entry:image C 0..* Reference(DocumentReference | Media) A reference to data that supports this section
.... section:impression C 0..1 BackboneElement Impressions
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 19005-8
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:finding C 0..* Reference(Observation: Imaging Finding) A reference to data that supports this section
...... entry:impression C 0..* Reference(Condition) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
.... section:recommendation C 0..1 BackboneElement Recommendations
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18783-1
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:suggestion C 0..* Reference(CarePlan | ServiceRequest) A reference to data that supports this section
.... section:communication C 0..1 BackboneElement Communications
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73568-8
....... 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
.... section:report C 0..1 BackboneElement Report - all content in one section
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP173421-1
....... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
Composition.category:imaging-report Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:imaging Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:legalAuthenticator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:resultValidator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:imagingstudy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:order.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:history.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:procedure.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:comparison.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:findings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:impression.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:recommendation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:communication.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:report.​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:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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())
eu-imaging-composition-1 error Composition.section When a section is empty, the emptyReason extension SHALL be present. entry.empty().not() or emptyReason.exists() or section.exists() or extension('http://hl7.org/fhir/StructureDefinition/note').value.text.exists()
eu-imaging-composition-2 error Composition.section A section must contain at least one of text, entries, or sub-sections. text.exists() or entry.exists() or section.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Imaging Report composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Information Recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension:diagnosticreport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
..... value[x] 0..1 Reference(DiagnosticReport: Imaging Report) Value of extension
.... extension:version 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
... identifier 1..1 Identifier Report identifier
... type 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
.... category:diagnostic-service 0..1 CodeableConcept Categorization of Composition
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report 1..1 CodeableConcept Categorization of Composition
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
.... category:imaging 1..1 CodeableConcept Categorization of Composition
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
... subject 1..1 Reference(Resource) Who and/or what the composition is about
... Slices for author 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:author 0..* Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who and/or what authored the composition
.... author:authoringDevice 0..* Reference(Device) Who and/or what authored the composition
.... author:organization 0..* Reference(Organization (EU core)(2.0.0-recon)) Who and/or what authored the composition
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition
..... mode 1..1 code personal | professional | legal | official
Required Pattern: legal
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
.... attester:resultValidator 0..* BackboneElement Attests to accuracy of composition
..... mode 1..1 code personal | professional | legal | official
Required Pattern: professional
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
...... Slices for extension Content/Rules for all slices
....... extension:deviceAttester 0..1 Reference(Device) Extension: Device Attester
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/DeviceAttesterExt
... custodian 0..1 Reference(Organization (EU core)(2.0.0-recon)) Organization that manages the Imaging Report
... Slices for section C 4..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
Constraints: eu-imaging-composition-1, eu-imaging-composition-2
.... section:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept Classification of section (recommended)
..... emptyReason 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
.... section:imagingstudy 1..1 BackboneElement Imaging Study
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18726-0
..... Slices for entry 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:imagingstudy 1..* Reference(ImagingStudy: General) Imaging Study Reference
.... section:order 1..1 BackboneElement Order
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55115-0
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:order 0..* Reference(ServiceRequest: Imaging Order) Order reference
.... section:history 1..1 BackboneElement History
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitals 0..* Reference(Observation) A reference to data that supports this section
...... entry:problemlist 0..* Reference(Condition) A reference to data that supports this section
...... entry:implants 0..* Reference(Device) A reference to data that supports this section
...... entry:medication 0..* Reference(MedicationAdministration | MedicationRequest) A reference to data that supports this section
.... section:procedure 1..1 BackboneElement Procedure
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
...... extension:radiationDose 0..1 string Extension: Radiation Dose
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55111-9
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:procedure 0..* Reference(Procedure: Imaging Acquisition) The imaging Procedure(s)
...... entry:adverse-event 0..* Reference(AdverseEvent) AdverseEvent(s)
...... entry:radiation-dose 0..* Reference(Resource) A reference to data that supports this section
.... section:comparison 0..1 BackboneElement History
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18834-2
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:comparedstudy 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) A reference to data that supports this section
.... section:findings 0..1 BackboneElement Findings
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 59776-5
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:finding 0..* Reference(Observation) A reference to data that supports this section
...... entry:keyimage 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
...... entry:image 0..* Reference(DocumentReference | Media) A reference to data that supports this section
.... section:impression 0..1 BackboneElement Impressions
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 19005-8
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:finding 0..* Reference(Observation: Imaging Finding) A reference to data that supports this section
...... entry:impression 0..* Reference(Condition) A reference to data that supports this section
...... entry:keyimage 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
.... section:recommendation 0..1 BackboneElement Recommendations
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18783-1
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:suggestion 0..* Reference(CarePlan | ServiceRequest) A reference to data that supports this section
.... section:communication 0..1 BackboneElement Communications
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73568-8
.... section:report 0..1 BackboneElement Report - all content in one section
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP173421-1

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.type Base preferred ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
Composition.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
eu-imaging-composition-1 error Composition.section When a section is empty, the emptyReason extension SHALL be present. entry.empty().not() or emptyReason.exists() or section.exists() or extension('http://hl7.org/fhir/StructureDefinition/note').value.text.exists()
eu-imaging-composition-2 error Composition.section A section must contain at least one of text, entries, or sub-sections. text.exists() or entry.exists() or section.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Imaging 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 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:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Information Recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension:diagnosticreport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 0..1 Reference(DiagnosticReport: Imaging Report) Value of extension
.... extension:version 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Report identifier
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... Slices for category Σ 2..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:diagnostic-service Σ 0..1 CodeableConcept Categorization of Composition
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... 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
.... category:imaging Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... 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
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:author Σ 0..* Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who and/or what authored the composition
.... author:authoringDevice Σ 0..* Reference(Device) Who and/or what authored the composition
.... author:organization Σ 0..* Reference(Organization (EU core)(2.0.0-recon)) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... 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.
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 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(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
.... attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: legal
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
.... attester:resultValidator 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: professional
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:deviceAttester 0..1 Reference(Device) Extension: Device Attester
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/DeviceAttesterExt
...... reference ΣC 0..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
... custodian Σ 0..1 Reference(Organization (EU core)(2.0.0-recon)) Organization that manages the Imaging 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 clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 4..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2, eu-imaging-composition-1, eu-imaging-composition-2
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:imagingstudy C 1..1 BackboneElement Imaging Study
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 18726-0
....... 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 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.
..... Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:imagingstudy C 1..* Reference(ImagingStudy: General) Imaging Study Reference
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:order C 1..1 BackboneElement Order
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 55115-0
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:order C 0..* Reference(ServiceRequest: Imaging Order) Order reference
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:history C 1..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 11329-0
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitals C 0..* Reference(Observation) A reference to data that supports this section
...... entry:problemlist C 0..* Reference(Condition) A reference to data that supports this section
...... entry:implants C 0..* Reference(Device) A reference to data that supports this section
...... entry:medication C 0..* Reference(MedicationAdministration | MedicationRequest) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:procedure C 1..1 BackboneElement Procedure
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
...... extension:radiationDose 0..1 string Extension: Radiation Dose
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 55111-9
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:procedure C 0..* Reference(Procedure: Imaging Acquisition) The imaging Procedure(s)
...... entry:adverse-event C 0..* Reference(AdverseEvent) AdverseEvent(s)
...... entry:radiation-dose C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:comparison C 0..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 18834-2
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:comparedstudy C 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:findings C 0..1 BackboneElement Findings
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 59776-5
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:finding C 0..* Reference(Observation) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
...... entry:image C 0..* Reference(DocumentReference | Media) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:impression C 0..1 BackboneElement Impressions
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 19005-8
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:finding C 0..* Reference(Observation: Imaging Finding) A reference to data that supports this section
...... entry:impression C 0..* Reference(Condition) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:recommendation C 0..1 BackboneElement Recommendations
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 18783-1
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:suggestion C 0..* Reference(CarePlan | ServiceRequest) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:communication C 0..1 BackboneElement Communications
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 73568-8
....... 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 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: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:report C 0..1 BackboneElement Report - all content in one section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: LP173421-1
....... 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 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: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section

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 ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
Composition.category:imaging-report Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:imaging Base example Document Class Value Set 📍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:legalAuthenticator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:resultValidator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:resultValidator.​party.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 v7.1
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 ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:imagingstudy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:imagingstudy.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:imagingstudy.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:imagingstudy.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:order.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:order.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:order.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:order.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:history.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:history.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:history.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:history.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:procedure.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:procedure.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:procedure.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:procedure.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:comparison.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:comparison.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:comparison.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:comparison.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:findings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:findings.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:findings.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:findings.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:impression.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:impression.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:impression.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:impression.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:recommendation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:recommendation.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:recommendation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:recommendation.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:communication.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:communication.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:communication.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:communication.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:report.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:report.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:report.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:report.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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())
eu-imaging-composition-1 error Composition.section When a section is empty, the emptyReason extension SHALL be present. entry.empty().not() or emptyReason.exists() or section.exists() or extension('http://hl7.org/fhir/StructureDefinition/note').value.text.exists()
eu-imaging-composition-2 error Composition.section A section must contain at least one of text, entries, or sub-sections. text.exists() or entry.exists() or section.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Mandatory: 11 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.category
  • The element 1 is sliced based on the value of Composition.author
  • The element 1 is sliced based on the value of Composition.attester
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Imaging Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Information Recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension:diagnosticreport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 0..1 Reference(DiagnosticReport: Imaging Report) Value of extension
.... extension:version 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... Slices for category Σ 2..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:diagnostic-service Σ 0..1 CodeableConcept Categorization of Composition
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... 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
.... category:imaging Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... 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
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
... date Σ 1..1 dateTime Composition editing time
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:author Σ 0..* Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who and/or what authored the composition
.... author:authoringDevice Σ 0..* Reference(Device) Who and/or what authored the composition
.... author:organization Σ 0..* Reference(Organization (EU core)(2.0.0-recon)) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition
..... modifierExtension ?!Σ 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.
Required Pattern: legal
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
.... attester:resultValidator 0..* BackboneElement Attests to accuracy of composition
..... modifierExtension ?!Σ 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.
Required Pattern: professional
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
...... Slices for extension Content/Rules for all slices
....... extension:deviceAttester 0..1 Reference(Device) Extension: Device Attester
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/DeviceAttesterExt
... custodian Σ 0..1 Reference(Organization (EU core)(2.0.0-recon)) Organization that manages the Imaging Report
... Slices for section C 4..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2, eu-imaging-composition-1, eu-imaging-composition-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
.... section:imagingstudy C 1..1 BackboneElement Imaging Study
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18726-0
....... 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
..... Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:imagingstudy C 1..* Reference(ImagingStudy: General) Imaging Study Reference
.... section:order C 1..1 BackboneElement Order
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55115-0
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:order C 0..* Reference(ServiceRequest: Imaging Order) Order reference
.... section:history C 1..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitals C 0..* Reference(Observation) A reference to data that supports this section
...... entry:problemlist C 0..* Reference(Condition) A reference to data that supports this section
...... entry:implants C 0..* Reference(Device) A reference to data that supports this section
...... entry:medication C 0..* Reference(MedicationAdministration | MedicationRequest) A reference to data that supports this section
.... section:procedure C 1..1 BackboneElement Procedure
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
...... extension:radiationDose 0..1 string Extension: Radiation Dose
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55111-9
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:procedure C 0..* Reference(Procedure: Imaging Acquisition) The imaging Procedure(s)
...... entry:adverse-event C 0..* Reference(AdverseEvent) AdverseEvent(s)
...... entry:radiation-dose C 0..* Reference(Resource) A reference to data that supports this section
.... section:comparison C 0..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18834-2
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:comparedstudy C 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) A reference to data that supports this section
.... section:findings C 0..1 BackboneElement Findings
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 59776-5
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:finding C 0..* Reference(Observation) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
...... entry:image C 0..* Reference(DocumentReference | Media) A reference to data that supports this section
.... section:impression C 0..1 BackboneElement Impressions
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 19005-8
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:finding C 0..* Reference(Observation: Imaging Finding) A reference to data that supports this section
...... entry:impression C 0..* Reference(Condition) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
.... section:recommendation C 0..1 BackboneElement Recommendations
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18783-1
....... 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
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:suggestion C 0..* Reference(CarePlan | ServiceRequest) A reference to data that supports this section
.... section:communication C 0..1 BackboneElement Communications
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73568-8
....... 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
.... section:report C 0..1 BackboneElement Report - all content in one section
Constraints: cmp-1, cmp-2
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP173421-1
....... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
Composition.category:imaging-report Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:imaging Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:legalAuthenticator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:resultValidator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:imagingstudy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:order.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:history.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:procedure.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:comparison.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:findings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:impression.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:recommendation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:communication.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:report.​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:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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())
eu-imaging-composition-1 error Composition.section When a section is empty, the emptyReason extension SHALL be present. entry.empty().not() or emptyReason.exists() or section.exists() or extension('http://hl7.org/fhir/StructureDefinition/note').value.text.exists()
eu-imaging-composition-2 error Composition.section A section must contain at least one of text, entries, or sub-sections. text.exists() or entry.exists() or section.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Imaging Report composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Information Recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension:diagnosticreport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
..... value[x] 0..1 Reference(DiagnosticReport: Imaging Report) Value of extension
.... extension:version 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
... identifier 1..1 Identifier Report identifier
... type 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
.... category:diagnostic-service 0..1 CodeableConcept Categorization of Composition
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report 1..1 CodeableConcept Categorization of Composition
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
.... category:imaging 1..1 CodeableConcept Categorization of Composition
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
... subject 1..1 Reference(Resource) Who and/or what the composition is about
... Slices for author 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:author 0..* Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who and/or what authored the composition
.... author:authoringDevice 0..* Reference(Device) Who and/or what authored the composition
.... author:organization 0..* Reference(Organization (EU core)(2.0.0-recon)) Who and/or what authored the composition
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition
..... mode 1..1 code personal | professional | legal | official
Required Pattern: legal
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
.... attester:resultValidator 0..* BackboneElement Attests to accuracy of composition
..... mode 1..1 code personal | professional | legal | official
Required Pattern: professional
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
...... Slices for extension Content/Rules for all slices
....... extension:deviceAttester 0..1 Reference(Device) Extension: Device Attester
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/DeviceAttesterExt
... custodian 0..1 Reference(Organization (EU core)(2.0.0-recon)) Organization that manages the Imaging Report
... Slices for section C 4..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
Constraints: eu-imaging-composition-1, eu-imaging-composition-2
.... section:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept Classification of section (recommended)
..... emptyReason 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
.... section:imagingstudy 1..1 BackboneElement Imaging Study
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18726-0
..... Slices for entry 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:imagingstudy 1..* Reference(ImagingStudy: General) Imaging Study Reference
.... section:order 1..1 BackboneElement Order
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55115-0
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:order 0..* Reference(ServiceRequest: Imaging Order) Order reference
.... section:history 1..1 BackboneElement History
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitals 0..* Reference(Observation) A reference to data that supports this section
...... entry:problemlist 0..* Reference(Condition) A reference to data that supports this section
...... entry:implants 0..* Reference(Device) A reference to data that supports this section
...... entry:medication 0..* Reference(MedicationAdministration | MedicationRequest) A reference to data that supports this section
.... section:procedure 1..1 BackboneElement Procedure
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
...... extension:radiationDose 0..1 string Extension: Radiation Dose
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55111-9
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:procedure 0..* Reference(Procedure: Imaging Acquisition) The imaging Procedure(s)
...... entry:adverse-event 0..* Reference(AdverseEvent) AdverseEvent(s)
...... entry:radiation-dose 0..* Reference(Resource) A reference to data that supports this section
.... section:comparison 0..1 BackboneElement History
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18834-2
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:comparedstudy 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) A reference to data that supports this section
.... section:findings 0..1 BackboneElement Findings
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 59776-5
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:finding 0..* Reference(Observation) A reference to data that supports this section
...... entry:keyimage 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
...... entry:image 0..* Reference(DocumentReference | Media) A reference to data that supports this section
.... section:impression 0..1 BackboneElement Impressions
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 19005-8
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:finding 0..* Reference(Observation: Imaging Finding) A reference to data that supports this section
...... entry:impression 0..* Reference(Condition) A reference to data that supports this section
...... entry:keyimage 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
.... section:recommendation 0..1 BackboneElement Recommendations
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18783-1
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:suggestion 0..* Reference(CarePlan | ServiceRequest) A reference to data that supports this section
.... section:communication 0..1 BackboneElement Communications
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73568-8
.... section:report 0..1 BackboneElement Report - all content in one section
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LP173421-1

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.type Base preferred ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
Composition.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
eu-imaging-composition-1 error Composition.section When a section is empty, the emptyReason extension SHALL be present. entry.empty().not() or emptyReason.exists() or section.exists() or extension('http://hl7.org/fhir/StructureDefinition/note').value.text.exists()
eu-imaging-composition-2 error Composition.section A section must contain at least one of text, entries, or sub-sections. text.exists() or entry.exists() or section.exists()

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Imaging 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 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:basedOn 0..* Reference(Resource) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) Information Recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension:diagnosticreport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
..... value[x] 0..1 Reference(DiagnosticReport: Imaging Report) Value of extension
.... extension:version 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Report identifier
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... Slices for category Σ 2..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:diagnostic-service Σ 0..1 CodeableConcept Categorization of Composition
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... 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
.... category:imaging Σ 1..1 CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... 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
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:author Σ 0..* Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who and/or what authored the composition
.... author:authoringDevice Σ 0..* Reference(Device) Who and/or what authored the composition
.... author:organization Σ 0..* Reference(Organization (EU core)(2.0.0-recon)) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... 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.
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 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(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
.... attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: legal
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
.... attester:resultValidator 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: professional
..... time 1..1 dateTime When the composition was attested
..... party 0..1 Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) Who attested the composition
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:deviceAttester 0..1 Reference(Device) Extension: Device Attester
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/DeviceAttesterExt
...... reference ΣC 0..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
... custodian Σ 0..1 Reference(Organization (EU core)(2.0.0-recon)) Organization that manages the Imaging 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 clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 4..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2, eu-imaging-composition-1, eu-imaging-composition-2
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:imagingstudy C 1..1 BackboneElement Imaging Study
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 18726-0
....... 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 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.
..... Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:imagingstudy C 1..* Reference(ImagingStudy: General) Imaging Study Reference
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:order C 1..1 BackboneElement Order
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 55115-0
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:order C 0..* Reference(ServiceRequest: Imaging Order) Order reference
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:history C 1..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 11329-0
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitals C 0..* Reference(Observation) A reference to data that supports this section
...... entry:problemlist C 0..* Reference(Condition) A reference to data that supports this section
...... entry:implants C 0..* Reference(Device) A reference to data that supports this section
...... entry:medication C 0..* Reference(MedicationAdministration | MedicationRequest) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:procedure C 1..1 BackboneElement Procedure
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
...... extension:radiationDose 0..1 string Extension: Radiation Dose
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 55111-9
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:procedure C 0..* Reference(Procedure: Imaging Acquisition) The imaging Procedure(s)
...... entry:adverse-event C 0..* Reference(AdverseEvent) AdverseEvent(s)
...... entry:radiation-dose C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:comparison C 0..1 BackboneElement History
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 18834-2
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:comparedstudy C 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:findings C 0..1 BackboneElement Findings
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 59776-5
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:finding C 0..* Reference(Observation) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
...... entry:image C 0..* Reference(DocumentReference | Media) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:impression C 0..1 BackboneElement Impressions
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 19005-8
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:finding C 0..* Reference(Observation: Imaging Finding) A reference to data that supports this section
...... entry:impression C 0..* Reference(Condition) A reference to data that supports this section
...... entry:keyimage C 0..* Reference(DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:recommendation C 0..1 BackboneElement Recommendations
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 18783-1
....... 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 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.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this
...... entry:suggestion C 0..* Reference(CarePlan | ServiceRequest) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:communication C 0..1 BackboneElement Communications
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: 73568-8
....... 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 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: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section
.... section:report C 0..1 BackboneElement Report - all content in one section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:note 0..* Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..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: 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: LP173421-1
....... 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 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: ValueSet: Reasons a section in an imaging report is empty. (preferred)
..... section C 0..* See section (Composition) Nested Section

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 ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
Composition.category:imaging-report Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.category:imaging Base example Document Class Value Set 📍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:legalAuthenticator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:resultValidator.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.attester:resultValidator.​party.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 v7.1
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 ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:imagingstudy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:imagingstudy.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:imagingstudy.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:imagingstudy.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:order.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:order.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:order.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:order.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:history.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:history.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:history.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:history.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:procedure.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:procedure.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:procedure.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:procedure.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:comparison.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:comparison.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:comparison.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:comparison.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:findings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:findings.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:findings.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:findings.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:impression.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:impression.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:impression.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:impression.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:recommendation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:recommendation.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:recommendation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:recommendation.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:communication.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:communication.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:communication.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:communication.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG
Composition.section:report.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:report.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:report.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:report.​emptyReason Base preferred ValueSet: Reasons a section in an imaging report is empty. 📦1.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication, Composition.section:report 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())
eu-imaging-composition-1 error Composition.section When a section is empty, the emptyReason extension SHALL be present. entry.empty().not() or emptyReason.exists() or section.exists() or extension('http://hl7.org/fhir/StructureDefinition/note').value.text.exists()
eu-imaging-composition-2 error Composition.section A section must contain at least one of text, entries, or sub-sections. text.exists() or entry.exists() or section.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Mandatory: 11 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.category
  • The element 1 is sliced based on the value of Composition.author
  • The element 1 is sliced based on the value of Composition.attester
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron

Notes:

For report creators, this page provides guidance on how to populate the narrative of each section, which is encoded in the Composition.section.text element of each section slice of this profile.

The table below suggests the data points that SHOULD be included, and the source of those data. Those data points can be in a first order resource, referenced directly from the Composition (e.g. ImOrder), or they can live in a second,third order resource (e.g. Medication). For the later, a second query or a FHIR path (resolve) expression is required to fetch them.

NOTE: Structural concerns and rationale on the ImComposition profile can be found in the CompositionEuImaging, which is the parent type of this Report-ImComposition profile.

Elements to include in sections narratives

Imaging Study

The following table lists the elements that should be included in the narrative of the Imaging Study section.

First order resource Element Referenced resource Logical model resource.field
EuDevice type   EHDSDevice.type
ImagingStudyEuImaging series.specimen EuSpecimen EHDSImagingReport.body.specimen
ImagingStudyEuImaging series.modality   EHDSImagingReport.body.examinationReport.modality
ImagingStudyEuImaging series.bodySite   EHDSImagingReport.body.examinationReport.bodySite
ImagingStudyEuImaging status   EHDSImagingStudy.header.status
ImagingStudyEuImaging series.modality   EHDSImagingStudy.modality
ImagingStudyEuImaging started   EHDSImagingStudy.started
ImagingStudyEuImaging description   EHDSImagingStudy.description

Order

The following table lists the elements that should be included in the narrative of the Order section.

First order resource Element Referenced resource Logical model resource.field Comments
ServiceRequestOrderEuImaging identifier[accessionNumber]   EHDSImagingReport.header.accessionNumber  
CompositionEuImaging extension[informationRecipient]   EHDSImagingReport.header.intendedRecipient[x]  
ServiceRequestOrderEuImaging authoredOn   EHDSImagingReport.body.orderInformation.orderDateAndTime  
ServiceRequestOrderEuImaging requester   EHDSImagingReport.body.orderInformation.orderPlacer[x]  
ServiceRequestOrderEuImaging reason.concept   EHDSImagingReport.body.orderInformation.orderReason[x]  
ServiceRequestOrderEuImaging reason.concept   EHDSImagingReport.body.orderInformation.clinicalQuestion Order reason and clinical question map to the same element by design choice
ServiceRequestOrderEuImaging code   .  

History

The following table lists the elements that should be included in the narrative of the History section.

First order resource Element Referenced resource Logical model resource.field
CompositionEuImaging section[history].entry   EHDSImagingReport.body.supportingInformation.observation
CompositionEuImaging section[history].entry   EHDSImagingReport.body.supportingInformation.condition
CompositionEuImaging section[history].entry   EHDSImagingReport.body.supportingInformation.priorMedicationAdministration
CompositionEuImaging section[history].entry   EHDSImagingReport.body.supportingInformation.device
CompositionEuImaging section[history].entry   EHDSImagingReport.body.supportingInformation.pregnancyStatus
EuPatient extension[sex-for-clinical-use]   EHDSImagingReport.body.supportingInformation.sexForClinicalUse

Procedure

The following table lists the elements that should be included in the narrative of the Procedure section.

First order resource Element Referenced resource Logical model resource.field Comments
EuAllergyIntolerance criticality   EHDSAllergyIntolerance.criticality  
EuAllergyIntolerance onsetPeriod   EHDSAllergyIntolerance.onsetDate  
EuAllergyIntolerance onsetDateTime   EHDSAllergyIntolerance.onsetDate  
EuAllergyIntolerance reaction   EHDSAllergyIntolerance.reaction  
EuAllergyIntolerance reaction.manifestation   EHDSAllergyIntolerance.reaction.manifestation  
EuAllergyIntolerance reaction.severity   EHDSAllergyIntolerance.reaction.severity  
EuDevice type   EHDSDevice.type  
DiagnosticReportEuImaging extension[radiationDose]   EHDSImagingReport.body.exposureInformation Comments in this issue https://github.com/Xt-EHR/xt-ehr-common/issues/365
CompositionEuImaging section[procedure].entry[procedure] EuProcedure EHDSImagingReport.body.examinationReport.imagingProcedures  
CompositionEuImaging section[procedure].entry[adverse-event]   EHDSImagingReport.body.examinationReport.adverseReaction  
EuMedicationAdministration reason   EHDSMedicationAdministration.reason[x]  
EuMedicationAdministration note   EHDSMedicationAdministration.note  

Comparison

The following table lists the elements that should be included in the narrative of the Comparison section.

First order resource Element Referenced resource Logical model resource.field
CompositionEuImaging section[comparison].entry[comparedstudy] ImagingStudyEuImaging EHDSImagingReport.body.comparisonStudy

Findings

The following table lists the elements that should be included in the narrative of the Findings section.

First order resource Element Referenced resource Logical model resource.field
CompositionEuImaging section[findings].extension[note]   EHDSImagingReport.body.examinationReport.results[x]
DiagnosticReportEuImaging note   EHDSImagingReport.body.examinationReport.results[x]

Impression

The following table lists the elements that should be included in the narrative of the Impression section.

First order resource Element Referenced resource Logical model resource.field
EuCondition code   EHDSCondition.problem
EuCondition severity   EHDSCondition.severity
CompositionEuImaging section[impression].extension[note]   EHDSImagingReport.body.examinationReport.conclusion.impression
CompositionEuImaging section[impression].entry[impression] ObservationFindingEuImaging EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]

Recommendation

The following table lists the elements that should be included in the narrative of the Recommendation section.

First order resource Element Referenced resource Logical model resource.field
EuCarePlan status   EHDSCarePlan.header.status
EuCarePlan title   EHDSCarePlan.title
EuCarePlan description   EHDSCarePlan.description
EuCarePlan activity   EHDSCarePlan.activity[x]
EuCarePlan description   EHDSImagingReport.body.recommendation.description
CompositionEuImaging section[recommendation].entry[suggestion] EuCarePlan EHDSImagingReport.body.recommendation.carePlan

R5 Composition section

The following table lists the elements that should be included in the narrative of the R5 Composition section section.

First order resource Element Referenced resource Logical model resource.field Comments
R5 Mapped Resource R5 Mapped Field   Xt-EHR resource.Xt-EHR field R5 Comments