HL7 Europe Laboratory Report
0.2.0-ci - ci-build 150

HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/laboratory/ and changes regularly. See the Directory of published versions

Resource Profile: Composition: Laboratory Report

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab Version: 0.2.0-ci
Standards status: Trial-use Maturity Level: 2 Computable Name: CompositionLabReportEu

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

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

Based on order

This version of the guide uses the HL7 Europe basedOn-order-or-requisition extension to link this Composition to the to the order or requisition.

Implementers are invited to provide their feedback about the possible adoption of the standard extension event-basedOn for referring the order fulfilled.

Usage:

Formal Views of Profile Content

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

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Laboratory Report composition
... text 0..1 Narrative Narrative text
... basedOn-order-or-requisition 0..* (Complex) Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... Slices for value[x] 0..1 Reference(ServiceRequest) Value of extension
Slice: Unordered, Open by type:$this
..... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... value[x] 0..1 Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) Value of extension
.... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
... identifier 0..1 Identifier Report identifier
... status 1..1 code Status of the Report
... type 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... author 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the Laboratory Report
... title 1..1 string Laboratory Report
... attester 0..* BackboneElement Attests the report accuracy
.... mode 1..1 code The type of attestation
.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... event 0..* BackboneElement The laboratory service(s) being documented
.... code 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
.... period 0..1 Period Period of time covered by the documentation
.... detail 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
.... section:lab-no-subsections 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..1 Narrative Text summary of the section, for human interpretation.
..... entry 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
..... section 0..0
.... section:lab-subsections 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..0
..... entry 0..0
..... section 1..* BackboneElement Nested Section
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text 0..1 Narrative Text summary of the section, for human interpretation.
...... entry 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
...... section 0..0
.... section:annotations 0..* BackboneElement Annotation comment
..... code 0..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: 48767-8
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..0
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
Composition.section:lab-no-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Laboratory Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
... versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1 Reference(ServiceRequest) Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1 Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) Value of extension
... diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the Laboratory Report
... title Σ 1..1 string Laboratory Report
... attester 0..* BackboneElement Attests the report accuracy
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... event Σ 0..* BackboneElement The laboratory service(s) being documented
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Period of time covered by the documentation
.... detail Σ 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:lab-no-subsections C 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text C 0..1 Narrative Text summary of the section, for human interpretation.
..... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:lab-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... section C 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text C 0..1 Narrative Text summary of the section, for human interpretation.
...... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:annotations C 0..* BackboneElement Annotation comment
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: 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: 48767-8
..... text C 1..1 Narrative Text summary of the section, for human interpretation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:lab-no-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:annotations.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Laboratory Report composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Narrative text
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... basedOn-order-or-requisition 0..* (Complex) Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1 Reference(ServiceRequest) Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1 Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) Value of extension
... diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the Laboratory Report
... title Σ 1..1 string Laboratory Report
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests the report accuracy
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The laboratory service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Period of time covered by the documentation
.... detail Σ 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:lab-no-subsections C 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
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 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation.
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:lab-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
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 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 1..* BackboneElement Nested Section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
...... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
...... text C 0..1 Narrative Text summary of the section, for human interpretation.
...... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

...... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

...... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
...... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:annotations C 0..* BackboneElement Annotation comment
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 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.extension:diagnosticReport-reference.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:lab-no-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-no-subsections.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:lab-no-subsections.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:lab-no-subsections.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:lab-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:lab-subsections.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:lab-subsections.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:lab-subsections.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:lab-subsections.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:annotations.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:annotations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:annotations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:annotations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Clinical Document

Summary

Mandatory: 4 elements(8 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.extension.value[x]
  • The element 1 is sliced based on the value of Composition.category
  • The element 2 is sliced based on the values of Composition.section

Maturity: 2

Differential View

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Laboratory Report composition
... text 0..1 Narrative Narrative text
... basedOn-order-or-requisition 0..* (Complex) Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... Slices for value[x] 0..1 Reference(ServiceRequest) Value of extension
Slice: Unordered, Open by type:$this
..... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... value[x] 0..1 Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) Value of extension
.... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
... identifier 0..1 Identifier Report identifier
... status 1..1 code Status of the Report
... type 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... author 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the Laboratory Report
... title 1..1 string Laboratory Report
... attester 0..* BackboneElement Attests the report accuracy
.... mode 1..1 code The type of attestation
.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... event 0..* BackboneElement The laboratory service(s) being documented
.... code 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
.... period 0..1 Period Period of time covered by the documentation
.... detail 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
.... section:lab-no-subsections 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..1 Narrative Text summary of the section, for human interpretation.
..... entry 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
..... section 0..0
.... section:lab-subsections 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..0
..... entry 0..0
..... section 1..* BackboneElement Nested Section
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text 0..1 Narrative Text summary of the section, for human interpretation.
...... entry 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
...... section 0..0
.... section:annotations 0..* BackboneElement Annotation comment
..... code 0..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: 48767-8
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..0
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
Composition.section:lab-no-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Laboratory Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Narrative text
... versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1 Reference(ServiceRequest) Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1 Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) Value of extension
... diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the Laboratory Report
... title Σ 1..1 string Laboratory Report
... attester 0..* BackboneElement Attests the report accuracy
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1 dateTime When the report was attested by the party
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the report
... event Σ 0..* BackboneElement The laboratory service(s) being documented
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Period of time covered by the documentation
.... detail Σ 0..* Reference(Resource) The laboratory service(s) being documented
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:lab-no-subsections C 0..* BackboneElement Variant 1: EU Laboratory Report section with entries and no sub-sections
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text C 0..1 Narrative Text summary of the section, for human interpretation.
..... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:lab-subsections C 0..* BackboneElement Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... section C 1..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... title 1..1 string Label for section (e.g. for ToC)
...... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text C 0..1 Narrative Text summary of the section, for human interpretation.
...... entry C 1..* Reference(Observation Results: laboratory) A reference to data that supports this section
.... section:annotations C 0..* BackboneElement Annotation comment
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: 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: 48767-8
..... text C 1..1 Narrative Text summary of the section, for human interpretation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:lab-no-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:annotations.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Laboratory Report composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Narrative text
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... basedOn-order-or-requisition 0..* (Complex) Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1 Reference(ServiceRequest) Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory Order) Value of extension
... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1 Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) Value of extension
... diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..0
.... url 1..1 uri "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1 Reference(DiagnosticReport: Laboratory Report) Value of extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the Laboratory Report
... title Σ 1..1 string Laboratory Report
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests the report accuracy
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
....