EU Imaging Report R4
1.0.0-ballot - ci-build
150
EU Imaging Report R4
1.0.0-ballot - ci-build
150
EU 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
| Official URL: http://hl7.eu/fhir/imaging/StructureDefinition/CompositionEuImaging | Version: 1.0.0-ballot | ||||
| Standards status: Draft | Maturity Level: 1 | Computable Name: CompositionEuImaging | |||
Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0). |
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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
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Composition |
C | 0..* | CompositionEuCore | Imaging Report composition Constraints: eu-imaging-comp-status-succession |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:version |
0..1 | (Complex) | 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 | |
   extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
 url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |
| extension:informationRecipient |
0..* | (Complex) | Information Recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |
| extension:diagnosticReport |
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:basedOn |
0..* | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
1..1 | Identifier | Report identifier | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | |
| type |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |
| Slices for category |
2..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 category:ehds-category |
0..* | CodeableConcept | EHDS Priority Category Binding: EHDS Categories (required) | |
| category:diagnostic-service |
0..1 | CodeableConcept | Categorization of Composition Binding: DiagnosticServiceSectionCodes (required) | |
| category:imaging-report |
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 |
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/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 |
1..1 | Reference(Patient (EU core) | Group | Location (EU core) | Device) | Who and/or what the composition is about | |
| date |
1..1 | dateTime | Composition editing time | |
| Slices for author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Who and/or what authored the composition Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| author:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | 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)) | Who and/or what authored the composition | |
| title |
1..1 | string | Human Readable name/title | |
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 attester:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| attester:legalAuthenticator |
0..* | BackboneElement | Attests to accuracy of composition | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | |
| time |
1..1 | dateTime | When the composition was attested | |
| attester:resultValidator |
0..* | BackboneElement | Attests to accuracy of composition | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional | |
| time |
1..1 | dateTime | When the composition was attested | |
| custodian |
0..1 | Reference(Organization (EU core)) | Organization that manages the Imaging Report | |
| Slices for relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| relatesTo:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
 target[x] |
1..1 | Target of the relationship | ||
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(Composition) | |||
| relatesTo:replaced_document |
0..1 | BackboneElement | Prior report this one replaces or retracts | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces | |
| target[x] |
1..1 | Identifier | Target of the relationship | |
 Slices for section |
C | 3..* | 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred) |
| section:imagingstudy |
C | 0..1 | BackboneElement | Imaging Study Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
 Slices for entry |
Content/Rules for all slices | |||
| entry:imagingstudy |
C | 1..* | Reference(ImagingStudy: Reported Study) | Imaging Study Reference |
| section:order |
C | 1..1 | BackboneElement | Order Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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(Observation: Radiation Dose) | Radiation-dose information |
| section:comparison |
C | 0..1 | BackboneElement | Comparison Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:comparedstudy |
C | 0..* | Reference(ImagingStudy: Reported Study | 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:finding |
C | 0..* | Reference(Observation: Imaging Finding | Observation: Narrative Report) | Imaging findings |
| entry:image |
C | 0..* | Reference(Media | Media: Key Image | Key images represented as an ImagingSelection for R4) | Images and key images |
| section:impression |
C | 0..1 | BackboneElement | Impressions Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:impressions |
C | 0..* | Reference(Observation: Imaging Finding | Condition (EU core)) | Impressions |
| entry:keyimage |
C | 0..* | Reference(Key images represented as an ImagingSelection for R4 | Media: Key Image) | A reference to data that supports this section |
| section:recommendation |
C | 0..1 | BackboneElement | Recommendations Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| section:report |
C | 0..1 | BackboneElement | Report - all content in one section Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:narrative-report |
C | 1..* | Reference(Observation: Narrative Report) | A reference to data that supports this section |
| Documentation for this format | ||||
| 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:ehds-category | Base | required | EHDS Categories | 📦2.0.0-ballot | HL7 Europe Base and Core FHIR IG v2.0 |
| 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.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo:replaced_document.code | Base | required | DocumentRelationshipType | 📍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. |
| 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-comp-status-succession | error | Composition | A Composition that replaces or retracts a prior report SHALL have status final or entered-in-error. |
relatesTo.where(code = 'replaces').exists() implies status in ('final' | 'entered-in-error')
|
| 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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.extension:basedOn, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:resultValidator.modifierExtension, Composition.relatesTo.modifierExtension, Composition.relatesTo:replaced_document.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:imagingstudy.extension:section-note, Composition.section:imagingstudy.modifierExtension, Composition.section:order.extension:section-note, Composition.section:order.modifierExtension, Composition.section:history.extension:section-note, Composition.section:history.modifierExtension, Composition.section:procedure.extension:section-note, Composition.section:procedure.modifierExtension, Composition.section:comparison.extension:section-note, Composition.section:comparison.modifierExtension, Composition.section:findings.extension:section-note, Composition.section:findings.modifierExtension, Composition.section:impression.extension:section-note, Composition.section:impression.modifierExtension, Composition.section:recommendation.extension:section-note, Composition.section:recommendation.modifierExtension, Composition.section:communication.extension:section-note, Composition.section:communication.modifierExtension, Composition.section:report.extension:section-note, Composition.section:report.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CompositionEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuCore | Imaging Report composition Constraints: eu-imaging-comp-status-succession |
| Slices for extension |
Content/Rules for all slices | |||
| extension:informationRecipient |
0..* | InformationRecipient | Information Recipient | |
| extension:diagnosticReport |
0..1 | DiagnosticReportReference | Document DiagnosticReport Reference | |
| value[x] |
0..1 | Reference(DiagnosticReport: Imaging Report) | Value of extension | |
| extension:basedOn |
0..* | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |
| identifier |
1..1 | Identifier | Report identifier | |
| type |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |
| category |
2..* | CodeableConcept | Document Category | |
| Slices for category |
Content/Rules for all slices | |||
| 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/health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |
| Slices for author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Who and/or what authored the composition Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| author:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | 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)) | Who and/or what authored the composition | |
| Slices for attester |
Content/Rules for all slices | |||
| attester:resultValidator |
0..* | BackboneElement | Attests to accuracy of composition | |
| party |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:deviceAttester |
0..1 | Reference(Device) | Extension: Device Attester URL: http://hl7.eu/fhir/imaging/StructureDefinition/DeviceAttesterExt | |
| custodian |
0..1 | Reference(Organization (EU core)) | Organization that manages the Imaging Report | |
| Slices for relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| relatesTo:replaced_document |
0..1 | BackboneElement | Prior report this one replaces or retracts | |
| code |
1..1 | code | replaces | transforms | signs | appends Required Pattern: replaces | |
| target[x] |
1..1 | Identifier | Target of the relationship | |
| Slices for section |
C | 3..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: eu-imaging-composition-1, eu-imaging-composition-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| emptyReason |
0..1 | CodeableConcept | Empty reason Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred) | |
| section:imagingstudy |
0..1 | BackboneElement | Imaging Study | |
| 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:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:imagingstudy |
1..* | Reference(ImagingStudy: Reported Study) | Imaging Study Reference | |
| section:order |
1..1 | BackboneElement | Order | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 55115-0 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:order |
0..* | Reference(ServiceRequest: Imaging Order) | Order reference | |
| section:history |
1..1 | BackboneElement | History | |
| 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:vitals |
0..* | Reference(Observation) | A reference to data that supports this section | |
| entry:problemlist |
0..* | Reference(Condition) | A reference to data that supports this section | |
| entry:implants |
0..* | Reference(Device) | A reference to data that supports this section | |
| entry:medication |
0..* | Reference(MedicationAdministration | MedicationRequest) | A reference to data that supports this section | |
| section:procedure |
1..1 | BackboneElement | Procedure | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 55111-9 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:procedure |
0..* | Reference(Procedure: Imaging Acquisition) | The imaging Procedure(s) | |
| entry:adverse-event |
0..* | Reference(AdverseEvent) | AdverseEvent(s) | |
| entry:radiation-dose |
0..* | Reference(Observation: Radiation Dose) | Radiation-dose information | |
| section:comparison |
0..1 | BackboneElement | Comparison | |
| 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() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:comparedstudy |
0..* | Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) | A reference to data that supports this section | |
| section:findings |
0..1 | BackboneElement | Findings | |
| 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() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:finding |
0..* | Reference(Observation: Imaging Finding | Observation: Narrative Report) | Imaging findings | |
| entry:image |
0..* | Reference(Media | Media: Key Image | Key images represented as an ImagingSelection for R4) | Images and key images | |
| section:impression |
0..1 | BackboneElement | Impressions | |
| 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:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:impressions |
0..* | Reference(Observation: Imaging Finding | Condition (EU core)) | Impressions | |
| entry:keyimage |
0..* | Reference(Key images represented as an ImagingSelection for R4 | Media: Key Image) | A reference to data that supports this section | |
| section:recommendation |
0..1 | BackboneElement | Recommendations | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18783-1 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:suggestion |
0..* | Reference(CarePlan | ServiceRequest) | A reference to data that supports this section | |
| section:communication |
0..1 | BackboneElement | Communications | |
| 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 | |
| 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 | |
| Slices for entry |
1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:narrative-report |
1..* | Reference(Observation: Narrative Report) | A reference to data that supports this section | |
| Documentation for this format | ||||
| 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 |
| Id | Grade | Path(s) | Description | Expression |
| eu-imaging-comp-status-succession | error | Composition | A Composition that replaces or retracts a prior report SHALL have status final or entered-in-error. |
relatesTo.where(code = 'replaces').exists() implies status in ('final' | 'entered-in-error')
|
| 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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuCore | Imaging Report composition Constraints: eu-imaging-comp-status-succession | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:version |
0..1 | (Complex) | 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 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||
| value[x] |
0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition | |||||
| extension:informationRecipient |
0..* | (Complex) | Information Recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
| value[x] |
0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Value of extension | |||||
| extension:diagnosticReport |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference" | |||||
| value[x] |
0..1 | Reference(DiagnosticReport: Imaging Report) | Value of extension | |||||
| extension:basedOn |
0..* | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..1 | Identifier | Report identifier | |||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | |||||
| type |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |||||
| Slices for category |
2..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:ehds-category |
0..* | CodeableConcept | EHDS Priority Category Binding: EHDS Categories (required) | |||||
| category:diagnostic-service |
0..1 | CodeableConcept | Categorization of Composition Binding: DiagnosticServiceSectionCodes (required) | |||||
| category:imaging-report |
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 |
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/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 |
1..1 | Reference(Patient (EU core) | Group | Location (EU core) | Device) | Who and/or what the composition is about | |||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||
| date |
1..1 | dateTime | Composition editing time | |||||
| Slices for author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Who and/or what authored the composition Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| author:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | 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)) | Who and/or what authored the composition | |||||
| title |
1..1 | string | Human Readable name/title | |||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| 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 |
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 (EU core) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | 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 |
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(PractitionerRole (EU core) | Practitioner (EU core)) | 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 |
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(PractitionerRole (EU core) | Practitioner (EU core)) | 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:deviceAttester |
0..1 | Reference(Device) | Extension: Device Attester URL: http://hl7.eu/fhir/imaging/StructureDefinition/DeviceAttesterExt | |||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| custodian |
0..1 | Reference(Organization (EU core)) | Organization that manages the Imaging Report | |||||
| Slices for relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| relatesTo:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| 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) | |||||||
| relatesTo:replaced_document |
0..1 | BackboneElement | Prior report this one replaces or retracts | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces | |||||
| target[x] |
1..1 | Identifier | Target of the relationship | |||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
0..1 | Period | The period covered by the documentation | |||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||
| Slices for section |
C | 3..* | 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred) | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:imagingstudy |
C | 0..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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:imagingstudy |
C | 1..* | Reference(ImagingStudy: Reported Study) | Imaging Study Reference | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:order |
C | 0..* | Reference(ServiceRequest: Imaging Order) | Order reference | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| 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(Observation: Radiation Dose) | Radiation-dose information | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:comparison |
C | 0..1 | BackboneElement | Comparison 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:comparedstudy |
C | 0..* | Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:finding |
C | 0..* | Reference(Observation: Imaging Finding | Observation: Narrative Report) | Imaging findings | ||||
| entry:image |
C | 0..* | Reference(Media | Media: Key Image | Key images represented as an ImagingSelection for R4) | Images and key images | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:impressions |
C | 0..* | Reference(Observation: Imaging Finding | Condition (EU core)) | Impressions | ||||
| entry:keyimage |
C | 0..* | Reference(Key images represented as an ImagingSelection for R4 | Media: Key Image) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:suggestion |
C | 0..* | Reference(CarePlan | ServiceRequest) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:narrative-report |
C | 1..* | Reference(Observation: Narrative Report) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| 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:ehds-category | Base | required | EHDS Categories | 📦2.0.0-ballot | HL7 Europe Base and Core FHIR IG v2.0 |
| 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.relatesTo:replaced_document.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.3 |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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-comp-status-succession | error | Composition | A Composition that replaces or retracts a prior report SHALL have status final or entered-in-error. |
relatesTo.where(code = 'replaces').exists() implies status in ('final' | 'entered-in-error')
|
| 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()
|
This structure is derived from CompositionEuCore
Summary
Mandatory: 5 elements(4 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:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuCore | Imaging Report composition Constraints: eu-imaging-comp-status-succession |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:version |
0..1 | (Complex) | 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 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |
| extension:informationRecipient |
0..* | (Complex) | Information Recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |
| extension:diagnosticReport |
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:basedOn |
0..* | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..1 | Identifier | Report identifier | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | |
| type |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |
| Slices for category |
2..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:ehds-category |
0..* | CodeableConcept | EHDS Priority Category Binding: EHDS Categories (required) | |
| category:diagnostic-service |
0..1 | CodeableConcept | Categorization of Composition Binding: DiagnosticServiceSectionCodes (required) | |
| category:imaging-report |
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 |
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/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 |
1..1 | Reference(Patient (EU core) | Group | Location (EU core) | Device) | Who and/or what the composition is about | |
| date |
1..1 | dateTime | Composition editing time | |
| Slices for author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Who and/or what authored the composition Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| author:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | 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)) | Who and/or what authored the composition | |
| title |
1..1 | string | Human Readable name/title | |
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| attester:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| attester:legalAuthenticator |
0..* | BackboneElement | Attests to accuracy of composition | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | |
| time |
1..1 | dateTime | When the composition was attested | |
| attester:resultValidator |
0..* | BackboneElement | Attests to accuracy of composition | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional | |
| time |
1..1 | dateTime | When the composition was attested | |
| custodian |
0..1 | Reference(Organization (EU core)) | Organization that manages the Imaging Report | |
| Slices for relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| relatesTo:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
| target[x] |
1..1 | Target of the relationship | ||
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(Composition) | |||
| relatesTo:replaced_document |
0..1 | BackboneElement | Prior report this one replaces or retracts | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces | |
| target[x] |
1..1 | Identifier | Target of the relationship | |
| Slices for section |
C | 3..* | 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred) |
| section:imagingstudy |
C | 0..1 | BackboneElement | Imaging Study Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:imagingstudy |
C | 1..* | Reference(ImagingStudy: Reported Study) | Imaging Study Reference |
| section:order |
C | 1..1 | BackboneElement | Order Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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(Observation: Radiation Dose) | Radiation-dose information |
| section:comparison |
C | 0..1 | BackboneElement | Comparison Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:comparedstudy |
C | 0..* | Reference(ImagingStudy: Reported Study | 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:finding |
C | 0..* | Reference(Observation: Imaging Finding | Observation: Narrative Report) | Imaging findings |
| entry:image |
C | 0..* | Reference(Media | Media: Key Image | Key images represented as an ImagingSelection for R4) | Images and key images |
| section:impression |
C | 0..1 | BackboneElement | Impressions Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:impressions |
C | 0..* | Reference(Observation: Imaging Finding | Condition (EU core)) | Impressions |
| entry:keyimage |
C | 0..* | Reference(Key images represented as an ImagingSelection for R4 | Media: Key Image) | A reference to data that supports this section |
| section:recommendation |
C | 0..1 | BackboneElement | Recommendations Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| 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 |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| section:report |
C | 0..1 | BackboneElement | Report - all content in one section Constraints: cmp-1, cmp-2 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:narrative-report |
C | 1..* | Reference(Observation: Narrative Report) | A reference to data that supports this section |
| Documentation for this format | ||||
| 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:ehds-category | Base | required | EHDS Categories | 📦2.0.0-ballot | HL7 Europe Base and Core FHIR IG v2.0 |
| 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.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo:replaced_document.code | Base | required | DocumentRelationshipType | 📍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. |
| 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-comp-status-succession | error | Composition | A Composition that replaces or retracts a prior report SHALL have status final or entered-in-error. |
relatesTo.where(code = 'replaces').exists() implies status in ('final' | 'entered-in-error')
|
| 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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.extension:basedOn, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:resultValidator.modifierExtension, Composition.relatesTo.modifierExtension, Composition.relatesTo:replaced_document.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:imagingstudy.extension:section-note, Composition.section:imagingstudy.modifierExtension, Composition.section:order.extension:section-note, Composition.section:order.modifierExtension, Composition.section:history.extension:section-note, Composition.section:history.modifierExtension, Composition.section:procedure.extension:section-note, Composition.section:procedure.modifierExtension, Composition.section:comparison.extension:section-note, Composition.section:comparison.modifierExtension, Composition.section:findings.extension:section-note, Composition.section:findings.modifierExtension, Composition.section:impression.extension:section-note, Composition.section:impression.modifierExtension, Composition.section:recommendation.extension:section-note, Composition.section:recommendation.modifierExtension, Composition.section:communication.extension:section-note, Composition.section:communication.modifierExtension, Composition.section:report.extension:section-note, Composition.section:report.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from CompositionEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuCore | Imaging Report composition Constraints: eu-imaging-comp-status-succession |
| Slices for extension |
Content/Rules for all slices | |||
| extension:informationRecipient |
0..* | InformationRecipient | Information Recipient | |
| extension:diagnosticReport |
0..1 | DiagnosticReportReference | Document DiagnosticReport Reference | |
| value[x] |
0..1 | Reference(DiagnosticReport: Imaging Report) | Value of extension | |
| extension:basedOn |
0..* | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |
| identifier |
1..1 | Identifier | Report identifier | |
| type |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |
| category |
2..* | CodeableConcept | Document Category | |
| Slices for category |
Content/Rules for all slices | |||
| 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/health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |
| Slices for author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Who and/or what authored the composition Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| author:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | 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)) | Who and/or what authored the composition | |
| Slices for attester |
Content/Rules for all slices | |||
| attester:resultValidator |
0..* | BackboneElement | Attests to accuracy of composition | |
| party |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:deviceAttester |
0..1 | Reference(Device) | Extension: Device Attester URL: http://hl7.eu/fhir/imaging/StructureDefinition/DeviceAttesterExt | |
| custodian |
0..1 | Reference(Organization (EU core)) | Organization that manages the Imaging Report | |
| Slices for relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| relatesTo:replaced_document |
0..1 | BackboneElement | Prior report this one replaces or retracts | |
| code |
1..1 | code | replaces | transforms | signs | appends Required Pattern: replaces | |
| target[x] |
1..1 | Identifier | Target of the relationship | |
| Slices for section |
C | 3..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: eu-imaging-composition-1, eu-imaging-composition-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| emptyReason |
0..1 | CodeableConcept | Empty reason Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred) | |
| section:imagingstudy |
0..1 | BackboneElement | Imaging Study | |
| 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:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:imagingstudy |
1..* | Reference(ImagingStudy: Reported Study) | Imaging Study Reference | |
| section:order |
1..1 | BackboneElement | Order | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 55115-0 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:order |
0..* | Reference(ServiceRequest: Imaging Order) | Order reference | |
| section:history |
1..1 | BackboneElement | History | |
| 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:vitals |
0..* | Reference(Observation) | A reference to data that supports this section | |
| entry:problemlist |
0..* | Reference(Condition) | A reference to data that supports this section | |
| entry:implants |
0..* | Reference(Device) | A reference to data that supports this section | |
| entry:medication |
0..* | Reference(MedicationAdministration | MedicationRequest) | A reference to data that supports this section | |
| section:procedure |
1..1 | BackboneElement | Procedure | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 55111-9 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:procedure |
0..* | Reference(Procedure: Imaging Acquisition) | The imaging Procedure(s) | |
| entry:adverse-event |
0..* | Reference(AdverseEvent) | AdverseEvent(s) | |
| entry:radiation-dose |
0..* | Reference(Observation: Radiation Dose) | Radiation-dose information | |
| section:comparison |
0..1 | BackboneElement | Comparison | |
| 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() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:comparedstudy |
0..* | Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) | A reference to data that supports this section | |
| section:findings |
0..1 | BackboneElement | Findings | |
| 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() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:finding |
0..* | Reference(Observation: Imaging Finding | Observation: Narrative Report) | Imaging findings | |
| entry:image |
0..* | Reference(Media | Media: Key Image | Key images represented as an ImagingSelection for R4) | Images and key images | |
| section:impression |
0..1 | BackboneElement | Impressions | |
| 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:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:impressions |
0..* | Reference(Observation: Imaging Finding | Condition (EU core)) | Impressions | |
| entry:keyimage |
0..* | Reference(Key images represented as an ImagingSelection for R4 | Media: Key Image) | A reference to data that supports this section | |
| section:recommendation |
0..1 | BackboneElement | Recommendations | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18783-1 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:suggestion |
0..* | Reference(CarePlan | ServiceRequest) | A reference to data that supports this section | |
| section:communication |
0..1 | BackboneElement | Communications | |
| 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 | |
| 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 | |
| Slices for entry |
1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:narrative-report |
1..* | Reference(Observation: Narrative Report) | A reference to data that supports this section | |
| Documentation for this format | ||||
| 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 |
| Id | Grade | Path(s) | Description | Expression |
| eu-imaging-comp-status-succession | error | Composition | A Composition that replaces or retracts a prior report SHALL have status final or entered-in-error. |
relatesTo.where(code = 'replaces').exists() implies status in ('final' | 'entered-in-error')
|
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuCore | Imaging Report composition Constraints: eu-imaging-comp-status-succession | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:version |
0..1 | (Complex) | 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 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||
| value[x] |
0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition | |||||
| extension:informationRecipient |
0..* | (Complex) | Information Recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
| value[x] |
0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Value of extension | |||||
| extension:diagnosticReport |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference" | |||||
| value[x] |
0..1 | Reference(DiagnosticReport: Imaging Report) | Value of extension | |||||
| extension:basedOn |
0..* | Reference(Resource) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..1 | Identifier | Report identifier | |||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | |||||
| type |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |||||
| Slices for category |
2..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:ehds-category |
0..* | CodeableConcept | EHDS Priority Category Binding: EHDS Categories (required) | |||||
| category:diagnostic-service |
0..1 | CodeableConcept | Categorization of Composition Binding: DiagnosticServiceSectionCodes (required) | |||||
| category:imaging-report |
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 |
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/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 |
1..1 | Reference(Patient (EU core) | Group | Location (EU core) | Device) | Who and/or what the composition is about | |||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||
| date |
1..1 | dateTime | Composition editing time | |||||
| Slices for author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Who and/or what authored the composition Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| author:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | 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)) | Who and/or what authored the composition | |||||
| title |
1..1 | string | Human Readable name/title | |||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| 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 |
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 (EU core) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | 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 |
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(PractitionerRole (EU core) | Practitioner (EU core)) | 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 |
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(PractitionerRole (EU core) | Practitioner (EU core)) | 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:deviceAttester |
0..1 | Reference(Device) | Extension: Device Attester URL: http://hl7.eu/fhir/imaging/StructureDefinition/DeviceAttesterExt | |||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| custodian |
0..1 | Reference(Organization (EU core)) | Organization that manages the Imaging Report | |||||
| Slices for relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| relatesTo:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| 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) | |||||||
| relatesTo:replaced_document |
0..1 | BackboneElement | Prior report this one replaces or retracts | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces | |||||
| target[x] |
1..1 | Identifier | Target of the relationship | |||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
0..1 | Period | The period covered by the documentation | |||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||
| Slices for section |
C | 3..* | 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ValueSet: Reasons a section in an imaging report is empty. (preferred) | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:imagingstudy |
C | 0..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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:imagingstudy |
C | 1..* | Reference(ImagingStudy: Reported Study) | Imaging Study Reference | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:order |
C | 0..* | Reference(ServiceRequest: Imaging Order) | Order reference | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| 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(Observation: Radiation Dose) | Radiation-dose information | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:comparison |
C | 0..1 | BackboneElement | Comparison 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:comparedstudy |
C | 0..* | Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:finding |
C | 0..* | Reference(Observation: Imaging Finding | Observation: Narrative Report) | Imaging findings | ||||
| entry:image |
C | 0..* | Reference(Media | Media: Key Image | Key images represented as an ImagingSelection for R4) | Images and key images | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:impressions |
C | 0..* | Reference(Observation: Imaging Finding | Condition (EU core)) | Impressions | ||||
| entry:keyimage |
C | 0..* | Reference(Key images represented as an ImagingSelection for R4 | Media: Key Image) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:suggestion |
C | 0..* | Reference(CarePlan | ServiceRequest) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| 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 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:narrative-report |
C | 1..* | Reference(Observation: Narrative Report) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| 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:ehds-category | Base | required | EHDS Categories | 📦2.0.0-ballot | HL7 Europe Base and Core FHIR IG v2.0 |
| 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.relatesTo:replaced_document.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.3 |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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 | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| 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-comp-status-succession | error | Composition | A Composition that replaces or retracts a prior report SHALL have status final or entered-in-error. |
relatesTo.where(code = 'replaces').exists() implies status in ('final' | 'entered-in-error')
|
| 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()
|
This structure is derived from CompositionEuCore
Summary
Mandatory: 5 elements(4 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:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
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.
The following table lists the elements that should be included in the narrative of the Header section.
| First order resource | Element | Referenced resource | Logical model resource.field |
|---|---|---|---|
| CompositionEuImaging | subject | EuPatient | EHDSImagingReport.header.subject |
| DiagnosticReportEuImaging | subject | EuPatient | EHDSImagingReport.header.subject |
| CompositionEuImaging | identifier | EHDSImagingReport.header.identifier | |
| DiagnosticReportEuImaging | identifier | EHDSImagingReport.header.identifier | |
| CompositionEuImaging | author[author] | EuDevice | EHDSImagingReport.header.author[x] |
| DiagnosticReportEuImaging | resultsInterpreter[author] | EuOrganization | EHDSImagingReport.header.author[x] |
| DiagnosticReportEuImaging | performer[organization] | EuOrganization | EHDSImagingReport.header.author[x] |
| DiagnosticReportEuImaging | resultsInterpreter[author] | EuPractitionerRole | EHDSImagingReport.header.author[x] |
| CompositionEuImaging | date | EHDSImagingReport.header.date | |
| DiagnosticReportEuImaging | issued | EHDSImagingReport.header.date | |
| CompositionEuImaging | status | EHDSImagingReport.header.status | |
| DiagnosticReportEuImaging | status | EHDSImagingReport.header.status | |
| CompositionEuImaging | language | EHDSImagingReport.header.language | |
| DiagnosticReportEuImaging | language | EHDSImagingReport.header.language | |
| CompositionEuImaging | category[imaging-report] | EHDSImagingReport.header.documentType | |
| DiagnosticReportEuImaging | category[imaging-report] | EHDSImagingReport.header.documentType | |
| CompositionEuImaging | title | EHDSImagingReport.header.documentTitle | |
| CompositionEuImaging | event.period | EHDSImagingReport.header.period | |
| DiagnosticReportEuImaging | effectivePeriod | EHDSImagingReport.header.period | |
| CompositionEuImaging | version | EHDSImagingReport.header.version | |
| DiagnosticReportEuImaging | extension[artifactVersion] | EHDSImagingReport.header.version | |
| CompositionEuImaging | attester[resultValidator] | EHDSImagingReport.header.attestation | |
| CompositionEuImaging | attester[resultValidator].party | EuPractitionerRole | EHDSImagingReport.header.attestation.attester[x] |
| CompositionEuImaging | attester[resultValidator].party.extension[deviceAttester] | EHDSImagingReport.header.attestation.attester[x] | |
| CompositionEuImaging | attester[resultValidator].time | EHDSImagingReport.header.attestation.datetime | |
| CompositionEuImaging | attester[legalAuthenticator] | EHDSImagingReport.header.legalAuthentication | |
| CompositionEuImaging | attester[legalAuthenticator].time | EHDSImagingReport.header.legalAuthentication.datetime | |
| CompositionEuImaging | category[diagnostic-service] | ImagingStudyEuImaging | EHDSImagingReport.header.eventType |
| ProcedureEuImaging | code | EuLocation | EHDSImagingReport.header.eventType |
| ImagingStudyEuImaging | series.modality | EHDSImagingReport.header.eventType | |
| ImagingStudyEuImaging | modality | EHDSImagingReport.header.eventType | |
| DiagnosticReportEuImaging | category[diagnostic-service] | EHDSImagingReport.header.serviceSpecialty | |
| CompositionEuImaging | category[diagnostic-service] | EHDSImagingReport.header.serviceSpecialty | |
| CompositionEuImaging | custodian | EuOrganization | EHDSImagingReport.header.custodian |
| CompositionEuImaging | extension[informationRecipient] | EHDSImagingReport.header.intendedRecipient[x] | |
| DiagnosticReportEuImaging | extension[informationRecipient] | EHDSImagingReport.header.intendedRecipient[x] |
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 |
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 | . |
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 | |
| DiagnosticReportEuImaging | extension[patientHistory] | EHDSImagingReport.body.supportingInformation.observation | |
| CompositionEuImaging | section[history].entry | EHDSImagingReport.body.supportingInformation.condition | |
| DiagnosticReportEuImaging | extension[patientHistory] | EHDSImagingReport.body.supportingInformation.condition | |
| CompositionEuImaging | section[history].entry | EHDSImagingReport.body.supportingInformation.priorMedicationAdministration | |
| DiagnosticReportEuImaging | extension[patientHistory] | EHDSImagingReport.body.supportingInformation.priorMedicationAdministration | |
| CompositionEuImaging | section[history].entry | EHDSImagingReport.body.supportingInformation.device | |
| DiagnosticReportEuImaging | extension[patientHistory] | EHDSImagingReport.body.supportingInformation.device | |
| CompositionEuImaging | section[history].entry | EHDSImagingReport.body.supportingInformation.pregnancyStatus | |
| DiagnosticReportEuImaging | extension[patientHistory] | EHDSImagingReport.body.supportingInformation.pregnancyStatus | |
| EuPatient | extension[sex-for-clinical-use] | EHDSImagingReport.body.supportingInformation.sexForClinicalUse |
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[procedure] | 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 |
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 |
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 |
|---|---|---|---|
| ObservationNarrativeReport | value[x] | EHDSImagingReport.body.examinationReport.results[x] | |
| CompositionEuImaging | section[report].entry[narrative-report] | EHDSImagingReport.body.examinationReport.results[x] | |
| CompositionEuImaging | section[findings].entry[finding] | EHDSImagingReport.body.examinationReport.results[x] | |
| DiagnosticReportEuImaging | result | EHDSImagingReport.body.examinationReport.results[x] |
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].text | EHDSImagingReport.body.examinationReport.conclusion.impression | |
| CompositionEuImaging | section[impression].entry[impressions] | Condition | EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] |
| CompositionEuImaging | section[impression].entry[impressions] | ObservationFindingEuImaging | EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] |
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 |
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 |
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-10-13
