HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Imaging Composition

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

Usage:

• Refer to this Resource Profile: Imaging Diagnostic Report

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ClinicalDocument	Imaging Report composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:diagnosticreport-reference	S	1..1	Reference(Imaging Diagnostic Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:informationRecipient		0..*	(Complex)	Document Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Information Recipient)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Report identifier ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: Imaging Report Types (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Imaging Patient)	Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	Date the report was last changed. ele-1: All FHIR elements must have a @value or children
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
author:author	SΣ	0..*	Reference(Practitioner Role)	Who and/or what authored the composition ele-1: All FHIR elements must have a @value or children
author:authoring-device	SΣ	0..*	Reference(Imaging Authoring Device)	Who and/or what authored the composition ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children
Slices for attester	SO	0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:$this.mode ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
attester:legalAuthenticator	S	0..*	BackboneElement	Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
party		0..1	Reference(Legal Authenticator)	Who attested the composition ele-1: All FHIR elements must have a @value or children
attester:resultValidator	S	0..*	BackboneElement	Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
party		0..1	Reference(Result Validator)	Who attested the composition ele-1: All FHIR elements must have a @value or children
custodian	SOΣ	0..1	Reference(Organization)	Organization that manages the Imaging Report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
Slices for section	SC	9..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:imagingstudy	SC	1..1	BackboneElement	Imaging Study cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:imagingstudy	SC	1..*	Reference(ImagingStudy)	Imaging Study Reference ele-1: All FHIR elements must have a @value or children
section:order	SC	1..1	BackboneElement	Order cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Order
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:""$this"" ele-1: All FHIR elements must have a @value or children
entry:order	SC	0..*	Reference(Imaging Order)	Order reference ele-1: All FHIR elements must have a @value or children
entry:orderPlacer	SC	0..*	Reference(Order Placer)	Order Placer ele-1: All FHIR elements must have a @value or children
entry:insurance	SC	0..*	Reference(Coverage information)	Insurrance ele-1: All FHIR elements must have a @value or children
entry:insurranceprovider	SC	0..*	Reference(Health Insurance Provider)	Insurrance ele-1: All FHIR elements must have a @value or children
section:history	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: History
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:procedure	SC	1..1	BackboneElement	Procedure cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Procedure
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:procedure	SC	0..*	Reference(Imaging Procedure)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:performer	SC	0..*	Reference(Imaging study performer)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:imaging-device	SC	0..*	Reference(Imaging Device)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:imaging-phase	SC	0..*	Reference(Imaging results from Procedure Phase)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:medication	SC	0..*	Reference(Medication Administration)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:comparison	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Comparison
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:comparedstudy	SC	0..*	Reference(ImagingStudy | Represents the part of an imaging study.)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:findings	SC	1..1	BackboneElement	Findings cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Findings
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:impression	SC	1..1	BackboneElement	Impressions cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Impression
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:impression	SC	0..*	Reference(Impression)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:recommendation	SC	1..1	BackboneElement	Recommendations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Recommendation
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:recommendedCarePlan	SC	0..*	Reference(Recommended CarePlan)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:communication	SC	1..1	BackboneElement	Communications cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Communication
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	preferred	ImagingReportTypesEuVS http://hl7.eu/fhir/imaging/ValueSet/im-reportType-eu-lab from this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:imagingstudy.code	example	Pattern: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:order.code	example	Pattern: LOINC Code 55115-0("Order") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:history.code	example	Pattern: LOINC Code 11329-0("History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedure.code	example	Pattern: LOINC Code 55111-9("Procedure") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:comparison.code	example	Pattern: LOINC Code 18834-2("Comparison") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:findings.code	example	Pattern: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:impression.code	example	Pattern: LOINC Code 19005-8("Impression") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:recommendation.code	example	Pattern: LOINC Code 18783-1("Recommendation") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:communication.code	example	Pattern: LOINC Code 18783-1("Communication") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	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	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ClinicalDocument

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ClinicalDocument	Imaging Report composition
meta
security	S	0..*	Coding	Security Labels applied to this resource
language	S	0..1	code	Language of the resource content
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference	S	1..1	Reference(Imaging Diagnostic Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
value[x]		1..1	Reference(ServiceRequest)	Value of extension
extension:informationRecipient		0..*	(Complex)	Document Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]		0..1	Reference(Information Recipient)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
identifier		0..*	Identifier	Report identifier
status		1..1	code	Status of the Report
type		1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: Imaging Report Types (preferred)
subject	S	1..1	Reference(Imaging Patient)	Who and/or what the composition is about
date	S	1..1	dateTime	Date the report was last changed.
Slices for author	S	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	S	0..*	Reference(Practitioner Role)	Who and/or what authored the composition
author:authoring-device	S	0..*	Reference(Imaging Authoring Device)	Who and/or what authored the composition
Slices for attester	SO	0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:$this.mode Obligations Actor SHALL:populate-if-known IM Producer
attester:legalAuthenticator	S	0..*	BackboneElement	Attests to accuracy of composition
mode	S	1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
party		0..1	Reference(Legal Authenticator)	Who attested the composition
attester:resultValidator	S	0..*	BackboneElement	Attests to accuracy of composition
mode	S	1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
party		0..1	Reference(Result Validator)	Who attested the composition
custodian	SO	0..1	Reference(Organization)	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known IM Producer
Slices for section	S	9..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended)
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(Resource)	A reference to data that supports this section
section:imagingstudy	S	1..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:$this
entry:imagingstudy	S	1..*	Reference(ImagingStudy)	Imaging Study Reference
section:order	S	1..1	BackboneElement	Order
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Order
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:""$this""
entry:order	S	0..*	Reference(Imaging Order)	Order reference
entry:orderPlacer	S	0..*	Reference(Order Placer)	Order Placer
entry:insurance	S	0..*	Reference(Coverage information)	Insurrance
entry:insurranceprovider	S	0..*	Reference(Health Insurance Provider)	Insurrance
section:history	S	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
display		1..1	string	Representation defined by the system Fixed Value: History
section:procedure	S	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
display		1..1	string	Representation defined by the system Fixed Value: Procedure
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	S	0..*	Reference(Imaging Procedure)	A reference to data that supports this section
entry:performer	S	0..*	Reference(Imaging study performer)	A reference to data that supports this section
entry:imaging-device	S	0..*	Reference(Imaging Device)	A reference to data that supports this section
entry:imaging-phase	S	0..*	Reference(Imaging results from Procedure Phase)	A reference to data that supports this section
entry:medication	S	0..*	Reference(Medication Administration)	A reference to data that supports this section
section:comparison	S	1..1	BackboneElement	History
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Comparison
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	S	0..*	Reference(ImagingStudy | Represents the part of an imaging study.)	A reference to data that supports this section
section:findings	S	1..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
display		1..1	string	Representation defined by the system Fixed Value: Findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	S	0..*	Reference(Finding)	A reference to data that supports this section
entry:keyimage	S	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
section:impression	S	1..1	BackboneElement	Impressions
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Impression
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	S	0..*	Reference(Finding)	A reference to data that supports this section
entry:impression	S	0..*	Reference(Impression)	A reference to data that supports this section
entry:keyimage	S	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
section:recommendation	S	1..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
display		1..1	string	Representation defined by the system Fixed Value: Recommendation
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:recommendedCarePlan	S	0..*	Reference(Recommended CarePlan)	A reference to data that supports this section
section:communication	S	1..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: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Communication
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	preferred	ImagingReportTypesEuVS http://hl7.eu/fhir/imaging/ValueSet/im-reportType-eu-lab from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ClinicalDocument	Imaging Report composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference	S	1..1	Reference(Imaging Diagnostic Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Value of extension
extension:informationRecipient		0..*	(Complex)	Document Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Information Recipient)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Report identifier
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: Imaging Report Types (preferred)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Imaging Patient)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Date the report was last changed.
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	SΣ	0..*	Reference(Practitioner Role)	Who and/or what authored the composition
author:authoring-device	SΣ	0..*	Reference(Imaging Authoring Device)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
Slices for attester	SO	0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:$this.mode Obligations Actor SHALL:populate-if-known IM Producer
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legalAuthenticator	S	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Legal Authenticator)	Who attested the composition
attester:resultValidator	S	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Result Validator)	Who attested the composition
custodian	SOΣ	0..1	Reference(Organization)	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known IM Producer
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	SC	9..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:imagingstudy	SC	1..1	BackboneElement	Imaging Study cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	SC	1..*	Reference(ImagingStudy)	Imaging Study Reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:order	SC	1..1	BackboneElement	Order cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Order
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:""$this""
entry:order	SC	0..*	Reference(Imaging Order)	Order reference
entry:orderPlacer	SC	0..*	Reference(Order Placer)	Order Placer
entry:insurance	SC	0..*	Reference(Coverage information)	Insurrance
entry:insurranceprovider	SC	0..*	Reference(Health Insurance Provider)	Insurrance
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:history	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: History
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:procedure	SC	1..1	BackboneElement	Procedure cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Procedure
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	SC	0..*	Reference(Imaging Procedure)	A reference to data that supports this section
entry:performer	SC	0..*	Reference(Imaging study performer)	A reference to data that supports this section
entry:imaging-device	SC	0..*	Reference(Imaging Device)	A reference to data that supports this section
entry:imaging-phase	SC	0..*	Reference(Imaging results from Procedure Phase)	A reference to data that supports this section
entry:medication	SC	0..*	Reference(Medication Administration)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:comparison	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Comparison
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	SC	0..*	Reference(ImagingStudy | Represents the part of an imaging study.)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:findings	SC	1..1	BackboneElement	Findings cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Findings
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:impression	SC	1..1	BackboneElement	Impressions cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Impression
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section
entry:impression	SC	0..*	Reference(Impression)	A reference to data that supports this section
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:recommendation	SC	1..1	BackboneElement	Recommendations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Recommendation
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:recommendedCarePlan	SC	0..*	Reference(Recommended CarePlan)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:communication	SC	1..1	BackboneElement	Communications cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Communication
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	preferred	ImagingReportTypesEuVS http://hl7.eu/fhir/imaging/ValueSet/im-reportType-eu-lab from this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category from the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:imagingstudy.code	example	Pattern: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:imagingstudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:imagingstudy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:order.code	example	Pattern: LOINC Code 55115-0("Order") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:order.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:order.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:history.code	example	Pattern: LOINC Code 11329-0("History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:history.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:procedure.code	example	Pattern: LOINC Code 55111-9("Procedure") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedure.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:procedure.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:comparison.code	example	Pattern: LOINC Code 18834-2("Comparison") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:comparison.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:comparison.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:findings.code	example	Pattern: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:findings.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:findings.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:impression.code	example	Pattern: LOINC Code 19005-8("Impression") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:impression.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:recommendation.code	example	Pattern: LOINC Code 18783-1("Recommendation") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:recommendation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:recommendation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:communication.code	example	Pattern: LOINC Code 18783-1("Communication") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:communication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:communication.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	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	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ClinicalDocument

Summary

Mandatory: 15 elements
Must-Support: 45 elements

Structures

This structure refers to these other structures:

• Information Recipient (http://hl7.eu/fhir/imaging/StructureDefinition/im-information-recipient)
• Imaging Patient (http://hl7.eu/fhir/imaging/StructureDefinition/im-patient)
• Practitioner Role (http://hl7.eu/fhir/imaging/StructureDefinition/im-practitioner-role)
• Imaging Authoring Device (http://hl7.eu/fhir/imaging/StructureDefinition/im-authoring-device)
• Legal Authenticator (http://hl7.eu/fhir/imaging/StructureDefinition/im-legal-authenticator)
• Result Validator (http://hl7.eu/fhir/imaging/StructureDefinition/im-result-validator)
• Organization (http://hl7.eu/fhir/imaging/StructureDefinition/im-organization)
• ImagingStudy (http://hl7.eu/fhir/imaging/StructureDefinition/im-imagingstudy)
• Imaging Order (http://hl7.eu/fhir/imaging/StructureDefinition/im-order)
• Order Placer (http://hl7.eu/fhir/imaging/StructureDefinition/im-order-placer)
• Coverage information (http://hl7.eu/fhir/imaging/StructureDefinition/im-coverage)
• Health Insurance Provider (http://hl7.eu/fhir/imaging/StructureDefinition/im-health-insurance-provider)
• Imaging Procedure (http://hl7.eu/fhir/imaging/StructureDefinition/im-procedure)
• Imaging study performer (http://hl7.eu/fhir/imaging/StructureDefinition/im-performer)
• Imaging Device (http://hl7.eu/fhir/imaging/StructureDefinition/im-imaging-device)
• Imaging results from Procedure Phase (http://hl7.eu/fhir/imaging/StructureDefinition/im-imaging-study-phase)
• Medication Administration (http://hl7.eu/fhir/imaging/StructureDefinition/im-medication-administration)
• Represents the part of an imaging study. (http://hl7.eu/fhir/imaging/StructureDefinition/ImImagingSelection)
• Finding (http://hl7.eu/fhir/imaging/StructureDefinition/im-finding)
• Imaging Key Image Document Reference (http://hl7.eu/fhir/imaging/StructureDefinition/im-keyimages-document-reference)
• Key images represented as an ImagingSelection (http://hl7.eu/fhir/imaging/StructureDefinition/im-keyimages-imaging-selection)
• Impression (http://hl7.eu/fhir/imaging/StructureDefinition/im-impression)
• Recommended CarePlan (http://hl7.eu/fhir/imaging/StructureDefinition/im-recommended-careplan)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference
• http://hl7.org/fhir/StructureDefinition/event-basedOn
• http://hl7.eu/fhir/StructureDefinition/information-recipient
• http://hl7.org/fhir/StructureDefinition/artifact-version

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ClinicalDocument	Imaging Report composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:diagnosticreport-reference	S	1..1	Reference(Imaging Diagnostic Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:informationRecipient		0..*	(Complex)	Document Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Information Recipient)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Report identifier ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: Imaging Report Types (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Imaging Patient)	Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	Date the report was last changed. ele-1: All FHIR elements must have a @value or children
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
author:author	SΣ	0..*	Reference(Practitioner Role)	Who and/or what authored the composition ele-1: All FHIR elements must have a @value or children
author:authoring-device	SΣ	0..*	Reference(Imaging Authoring Device)	Who and/or what authored the composition ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children
Slices for attester	SO	0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:$this.mode ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
attester:legalAuthenticator	S	0..*	BackboneElement	Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
party		0..1	Reference(Legal Authenticator)	Who attested the composition ele-1: All FHIR elements must have a @value or children
attester:resultValidator	S	0..*	BackboneElement	Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
party		0..1	Reference(Result Validator)	Who attested the composition ele-1: All FHIR elements must have a @value or children
custodian	SOΣ	0..1	Reference(Organization)	Organization that manages the Imaging Report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
Slices for section	SC	9..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:imagingstudy	SC	1..1	BackboneElement	Imaging Study cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:imagingstudy	SC	1..*	Reference(ImagingStudy)	Imaging Study Reference ele-1: All FHIR elements must have a @value or children
section:order	SC	1..1	BackboneElement	Order cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Order
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:""$this"" ele-1: All FHIR elements must have a @value or children
entry:order	SC	0..*	Reference(Imaging Order)	Order reference ele-1: All FHIR elements must have a @value or children
entry:orderPlacer	SC	0..*	Reference(Order Placer)	Order Placer ele-1: All FHIR elements must have a @value or children
entry:insurance	SC	0..*	Reference(Coverage information)	Insurrance ele-1: All FHIR elements must have a @value or children
entry:insurranceprovider	SC	0..*	Reference(Health Insurance Provider)	Insurrance ele-1: All FHIR elements must have a @value or children
section:history	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: History
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:procedure	SC	1..1	BackboneElement	Procedure cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Procedure
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:procedure	SC	0..*	Reference(Imaging Procedure)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:performer	SC	0..*	Reference(Imaging study performer)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:imaging-device	SC	0..*	Reference(Imaging Device)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:imaging-phase	SC	0..*	Reference(Imaging results from Procedure Phase)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:medication	SC	0..*	Reference(Medication Administration)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:comparison	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Comparison
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:comparedstudy	SC	0..*	Reference(ImagingStudy | Represents the part of an imaging study.)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:findings	SC	1..1	BackboneElement	Findings cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Findings
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:impression	SC	1..1	BackboneElement	Impressions cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Impression
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:impression	SC	0..*	Reference(Impression)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:recommendation	SC	1..1	BackboneElement	Recommendations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Recommendation
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
entry:recommendedCarePlan	SC	0..*	Reference(Recommended CarePlan)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:communication	SC	1..1	BackboneElement	Communications cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
display		1..1	string	Representation defined by the system Fixed Value: Communication
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	preferred	ImagingReportTypesEuVS http://hl7.eu/fhir/imaging/ValueSet/im-reportType-eu-lab from this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:imagingstudy.code	example	Pattern: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:order.code	example	Pattern: LOINC Code 55115-0("Order") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:history.code	example	Pattern: LOINC Code 11329-0("History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedure.code	example	Pattern: LOINC Code 55111-9("Procedure") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:comparison.code	example	Pattern: LOINC Code 18834-2("Comparison") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:findings.code	example	Pattern: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:impression.code	example	Pattern: LOINC Code 19005-8("Impression") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:recommendation.code	example	Pattern: LOINC Code 18783-1("Recommendation") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:communication.code	example	Pattern: LOINC Code 18783-1("Communication") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	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	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from ClinicalDocument

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ClinicalDocument	Imaging Report composition
meta
security	S	0..*	Coding	Security Labels applied to this resource
language	S	0..1	code	Language of the resource content
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference	S	1..1	Reference(Imaging Diagnostic Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
value[x]		1..1	Reference(ServiceRequest)	Value of extension
extension:informationRecipient		0..*	(Complex)	Document Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]		0..1	Reference(Information Recipient)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
identifier		0..*	Identifier	Report identifier
status		1..1	code	Status of the Report
type		1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: Imaging Report Types (preferred)
subject	S	1..1	Reference(Imaging Patient)	Who and/or what the composition is about
date	S	1..1	dateTime	Date the report was last changed.
Slices for author	S	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	S	0..*	Reference(Practitioner Role)	Who and/or what authored the composition
author:authoring-device	S	0..*	Reference(Imaging Authoring Device)	Who and/or what authored the composition
Slices for attester	SO	0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:$this.mode Obligations Actor SHALL:populate-if-known IM Producer
attester:legalAuthenticator	S	0..*	BackboneElement	Attests to accuracy of composition
mode	S	1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
party		0..1	Reference(Legal Authenticator)	Who attested the composition
attester:resultValidator	S	0..*	BackboneElement	Attests to accuracy of composition
mode	S	1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
party		0..1	Reference(Result Validator)	Who attested the composition
custodian	SO	0..1	Reference(Organization)	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known IM Producer
Slices for section	S	9..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended)
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(Resource)	A reference to data that supports this section
section:imagingstudy	S	1..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:$this
entry:imagingstudy	S	1..*	Reference(ImagingStudy)	Imaging Study Reference
section:order	S	1..1	BackboneElement	Order
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Order
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:""$this""
entry:order	S	0..*	Reference(Imaging Order)	Order reference
entry:orderPlacer	S	0..*	Reference(Order Placer)	Order Placer
entry:insurance	S	0..*	Reference(Coverage information)	Insurrance
entry:insurranceprovider	S	0..*	Reference(Health Insurance Provider)	Insurrance
section:history	S	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
display		1..1	string	Representation defined by the system Fixed Value: History
section:procedure	S	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
display		1..1	string	Representation defined by the system Fixed Value: Procedure
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	S	0..*	Reference(Imaging Procedure)	A reference to data that supports this section
entry:performer	S	0..*	Reference(Imaging study performer)	A reference to data that supports this section
entry:imaging-device	S	0..*	Reference(Imaging Device)	A reference to data that supports this section
entry:imaging-phase	S	0..*	Reference(Imaging results from Procedure Phase)	A reference to data that supports this section
entry:medication	S	0..*	Reference(Medication Administration)	A reference to data that supports this section
section:comparison	S	1..1	BackboneElement	History
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Comparison
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	S	0..*	Reference(ImagingStudy | Represents the part of an imaging study.)	A reference to data that supports this section
section:findings	S	1..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
display		1..1	string	Representation defined by the system Fixed Value: Findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	S	0..*	Reference(Finding)	A reference to data that supports this section
entry:keyimage	S	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
section:impression	S	1..1	BackboneElement	Impressions
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Impression
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	S	0..*	Reference(Finding)	A reference to data that supports this section
entry:impression	S	0..*	Reference(Impression)	A reference to data that supports this section
entry:keyimage	S	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
section:recommendation	S	1..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
display		1..1	string	Representation defined by the system Fixed Value: Recommendation
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:recommendedCarePlan	S	0..*	Reference(Recommended CarePlan)	A reference to data that supports this section
section:communication	S	1..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: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Communication
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	preferred	ImagingReportTypesEuVS http://hl7.eu/fhir/imaging/ValueSet/im-reportType-eu-lab from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ClinicalDocument	Imaging Report composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference	S	1..1	Reference(Imaging Diagnostic Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Value of extension
extension:informationRecipient		0..*	(Complex)	Document Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Information Recipient)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Report identifier
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: Imaging Report Types (preferred)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Imaging Patient)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Date the report was last changed.
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	SΣ	0..*	Reference(Practitioner Role)	Who and/or what authored the composition
author:authoring-device	SΣ	0..*	Reference(Imaging Authoring Device)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
Slices for attester	SO	0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:$this.mode Obligations Actor SHALL:populate-if-known IM Producer
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legalAuthenticator	S	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Legal Authenticator)	Who attested the composition
attester:resultValidator	S	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Result Validator)	Who attested the composition
custodian	SOΣ	0..1	Reference(Organization)	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known IM Producer
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	SC	9..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:imagingstudy	SC	1..1	BackboneElement	Imaging Study cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	SC	1..*	Reference(ImagingStudy)	Imaging Study Reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:order	SC	1..1	BackboneElement	Order cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Order
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:""$this""
entry:order	SC	0..*	Reference(Imaging Order)	Order reference
entry:orderPlacer	SC	0..*	Reference(Order Placer)	Order Placer
entry:insurance	SC	0..*	Reference(Coverage information)	Insurrance
entry:insurranceprovider	SC	0..*	Reference(Health Insurance Provider)	Insurrance
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:history	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: History
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:procedure	SC	1..1	BackboneElement	Procedure cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Procedure
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	SC	0..*	Reference(Imaging Procedure)	A reference to data that supports this section
entry:performer	SC	0..*	Reference(Imaging study performer)	A reference to data that supports this section
entry:imaging-device	SC	0..*	Reference(Imaging Device)	A reference to data that supports this section
entry:imaging-phase	SC	0..*	Reference(Imaging results from Procedure Phase)	A reference to data that supports this section
entry:medication	SC	0..*	Reference(Medication Administration)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:comparison	SC	1..1	BackboneElement	History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Comparison
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	SC	0..*	Reference(ImagingStudy | Represents the part of an imaging study.)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:findings	SC	1..1	BackboneElement	Findings cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Findings
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:impression	SC	1..1	BackboneElement	Impressions cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Impression
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	SC	0..*	Reference(Finding)	A reference to data that supports this section
entry:impression	SC	0..*	Reference(Impression)	A reference to data that supports this section
entry:keyimage	SC	0..*	Reference(Imaging Key Image Document Reference | Key images represented as an ImagingSelection)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:recommendation	SC	1..1	BackboneElement	Recommendations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Recommendation
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:recommendedCarePlan	SC	0..*	Reference(Recommended CarePlan)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:communication	SC	1..1	BackboneElement	Communications cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.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		1..1	string	Representation defined by the system Fixed Value: Communication
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	preferred	ImagingReportTypesEuVS http://hl7.eu/fhir/imaging/ValueSet/im-reportType-eu-lab from this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category from the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:imagingstudy.code	example	Pattern: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:imagingstudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:imagingstudy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:order.code	example	Pattern: LOINC Code 55115-0("Order") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:order.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:order.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:history.code	example	Pattern: LOINC Code 11329-0("History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:history.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:procedure.code	example	Pattern: LOINC Code 55111-9("Procedure") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedure.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:procedure.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:comparison.code	example	Pattern: LOINC Code 18834-2("Comparison") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:comparison.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:comparison.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:findings.code	example	Pattern: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:findings.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:findings.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:impression.code	example	Pattern: LOINC Code 19005-8("Impression") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:impression.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:recommendation.code	example	Pattern: LOINC Code 18783-1("Recommendation") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:recommendation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:recommendation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:communication.code	example	Pattern: LOINC Code 18783-1("Communication") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:communication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:communication.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	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	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ClinicalDocument

Summary

Mandatory: 15 elements
Must-Support: 45 elements

Structures

This structure refers to these other structures:

• Information Recipient (http://hl7.eu/fhir/imaging/StructureDefinition/im-information-recipient)
• Imaging Patient (http://hl7.eu/fhir/imaging/StructureDefinition/im-patient)
• Practitioner Role (http://hl7.eu/fhir/imaging/StructureDefinition/im-practitioner-role)
• Imaging Authoring Device (http://hl7.eu/fhir/imaging/StructureDefinition/im-authoring-device)
• Legal Authenticator (http://hl7.eu/fhir/imaging/StructureDefinition/im-legal-authenticator)
• Result Validator (http://hl7.eu/fhir/imaging/StructureDefinition/im-result-validator)
• Organization (http://hl7.eu/fhir/imaging/StructureDefinition/im-organization)
• ImagingStudy (http://hl7.eu/fhir/imaging/StructureDefinition/im-imagingstudy)
• Imaging Order (http://hl7.eu/fhir/imaging/StructureDefinition/im-order)
• Order Placer (http://hl7.eu/fhir/imaging/StructureDefinition/im-order-placer)
• Coverage information (http://hl7.eu/fhir/imaging/StructureDefinition/im-coverage)
• Health Insurance Provider (http://hl7.eu/fhir/imaging/StructureDefinition/im-health-insurance-provider)
• Imaging Procedure (http://hl7.eu/fhir/imaging/StructureDefinition/im-procedure)
• Imaging study performer (http://hl7.eu/fhir/imaging/StructureDefinition/im-performer)
• Imaging Device (http://hl7.eu/fhir/imaging/StructureDefinition/im-imaging-device)
• Imaging results from Procedure Phase (http://hl7.eu/fhir/imaging/StructureDefinition/im-imaging-study-phase)
• Medication Administration (http://hl7.eu/fhir/imaging/StructureDefinition/im-medication-administration)
• Represents the part of an imaging study. (http://hl7.eu/fhir/imaging/StructureDefinition/ImImagingSelection)
• Finding (http://hl7.eu/fhir/imaging/StructureDefinition/im-finding)
• Imaging Key Image Document Reference (http://hl7.eu/fhir/imaging/StructureDefinition/im-keyimages-document-reference)
• Key images represented as an ImagingSelection (http://hl7.eu/fhir/imaging/StructureDefinition/im-keyimages-imaging-selection)
• Impression (http://hl7.eu/fhir/imaging/StructureDefinition/im-impression)
• Recommended CarePlan (http://hl7.eu/fhir/imaging/StructureDefinition/im-recommended-careplan)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/imaging/StructureDefinition/im-composition-diagnosticReportReference
• http://hl7.org/fhir/StructureDefinition/event-basedOn
• http://hl7.eu/fhir/StructureDefinition/information-recipient
• http://hl7.org/fhir/StructureDefinition/artifact-version

Slices

This structure defines the following Slices:

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

Maturity: 1