Composition: Laboratory Report - XpanDH Laboratory Report v0.1.0

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

extension:versionNumber

0..*

extension:basedOn-order-or-requisition

Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber

0..*

(Complex)

Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition

0..1

Unique id for inter-element referencing

0..0

url

1..1

Reference(ServiceRequest)

"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"

Slices for value[x]

0..1

Value of extension
Slice: Unordered, Closed by type:$this

value[x]:valueReference

0..1

Reference(ServiceRequest: Laboratory Order)

Value of extension

extension:information-recipient

0..*

(Complex)

Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient

0..1

Unique id for inter-element referencing

0..0

url

1..1

"http://hl7.eu/fhir/StructureDefinition/information-recipient"

extension:diagnosticReport-reference

0..1

Value of extension

0..1

(Complex)

Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference

0..1

Unique id for inter-element referencing

0..0

url

1..1

"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"

Reference(DiagnosticReport: Laboratory Report)

1..1

Value of extension

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..*

Extensions that cannot be ignored

0..1

Report identifier

status

?!Σ

1..1

Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

1..1

Type of (Laboratory) Report
Binding: Laboratory Report Types (required)

Slices for category

0..*

Report Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

category:studyType

0..*

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..*

The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)

subject

1..1

Reference(Patient)

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).

date

1..1

Composition editing time

1..*

Reference(Practitioner | PractitionerRole | Device | Organization)

Who and/or what authored the Laboratory Report

1..1

Laboratory Report

confidentiality

0..1

As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

attester

0..*

Attests the report accuracy

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the report was attested by the party

party

0..1

Reference(Practitioner | PractitionerRole | Organization)

Who attested the report

custodian

0..1

Reference(Organization)

Organization which maintains the composition

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

targetReference

Reference(Composition)

event

0..*

The laboratory service(s) being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

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

0..1

Period

Period of time covered by the documentation

detail

0..*

The laboratory service(s) being documented

Slices for section

1..*

Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
Constraints: cmp-1, cmp-2

section:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:lab-no-subsections

0..*

See section (Composition)

Nested Section

0..*

Variant 1: EU Laboratory Report section with entries and no sub-sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: Laboratory Study Types (preferred)

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

1..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:lab-subsections

0..*

Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: Laboratory Study Types (preferred)

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

1..*

Nested Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

1..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:annotations

0..*

Annotation comment
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

system

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

version

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48767-8

0..1

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

0..1

Documentation for this format

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Composition.extension:diagnosticReport-reference.value[x].type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	required	Laboratory Report Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.category:specialty	Base	required	Laboratory Specialty	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v6.5
Composition.section.code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section.emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:lab-no-subsections.code	Base	preferred	Laboratory Study Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.section:lab-no-subsections.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-no-subsections.orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:lab-no-subsections.emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:lab-subsections.code	Base	preferred	Laboratory Study Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.section:lab-subsections.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:lab-subsections.emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:lab-subsections.section.code	Base	preferred	Laboratory Study Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.section:lab-subsections.section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:lab-subsections.section.orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:lab-subsections.section.emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:annotations.code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:annotations.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:annotations.emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.

Constraints

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

This structure is derived from CompositionLabReportEu

Summary

Structures

This structure refers to these other structures:

Patient (http://hl7.eu/fhir/ig/xpandh/lab/StructureDefinition/Patient-eu-xpandh)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
extension		0..0
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:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
extension:information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
extension:diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: Laboratory Report Types (required)
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$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)	Who and/or what this report is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner \| PractitionerRole \| Device \| Organization)	Who and/or what authored the Laboratory Report
title	Σ	1..1	string	Laboratory Report
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	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 Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	1..*	Reference(Observation Results: laboratory)	A reference to data that supports this section
section:lab-subsections	C	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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)
entry	C	1..*	Reference(Observation Results: laboratory)	A reference to data that supports this section
section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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
text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	required	Laboratory Report Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.category:specialty	Base	required	Laboratory Specialty	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.section.code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:lab-subsections.section.code	Base	preferred	Laboratory Study Types	📦0.1.0	HL7 Europe Laboratory Report v0.1
Composition.section:annotations.code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.

Constraints

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

Differential View

This structure is derived from CompositionLabReportEu

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition	0..*	CompositionLabReportEu	Laboratory Report composition
type	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: Laboratory Report Types (required)
subject	1..1	Reference(Patient)	Who and/or what this report is about
author	1..*	Reference(Practitioner \| PractitionerRole \| Device \| Organization)	Who and/or what authored the Laboratory Report
attester
party	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	Who attested the report
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type	Base	required	Laboratory Report Types	📦0.1.0	HL7 Europe Laboratory Report v0.1

Snapshot View

Description & Constraints Filter: Filters

Composition

0..*

CompositionLabReportEu

Laboratory Report composition

0..1

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

extension:versionNumber

0..*

extension:basedOn-order-or-requisition

Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber

0..*

(Complex)

Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition

0..1

Unique id for inter-element referencing

0..0

url

1..1

Reference(ServiceRequest)

"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"

Slices for value[x]

0..1

Value of extension
Slice: Unordered, Closed by type:$this

value[x]:valueReference

0..1

Reference(ServiceRequest: Laboratory Order)

Value of extension

extension:information-recipient

0..*

(Complex)

Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient

0..1

Unique id for inter-element referencing

0..0

url

1..1

"http://hl7.eu/fhir/StructureDefinition/information-recipient"

extension:diagnosticReport-reference

0..1

Value of extension

0..1

(Complex)

Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference

0..1

Unique id for inter-element referencing

0..0

url

1..1

"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"

Reference(DiagnosticReport: Laboratory Report)

1..1

Value of extension

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..*

Extensions that cannot be ignored

0..1

Report identifier

status

?!Σ

1..1

Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

1..1

Type of (Laboratory) Report
Binding: Laboratory Report Types (required)

Slices for category

0..*

Report Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

category:studyType

0..*

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..*

The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)

subject

1..1

Reference(Patient)

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).

date

1..1

Composition editing time

1..*

Reference(Practitioner | PractitionerRole | Device | Organization)

Who and/or what authored the Laboratory Report

1..1

Laboratory Report

confidentiality

0..1

As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

attester

0..*

Attests the report accuracy

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the report was attested by the party

party

0..1

Reference(Practitioner | PractitionerRole | Organization)

Who attested the report

custodian

0..1

Reference(Organization)

Organization which maintains the composition

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

targetReference

Reference(Composition)

event

0..*

The laboratory service(s) being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

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

0..1

Period

Period of time covered by the documentation

detail

0..*

The laboratory service(s) being documented

Slices for section

1..*

Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
Constraints: cmp-1, cmp-2

section:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:lab-no-subsections

0..*

See section (Composition)

Nested Section

0..*

Variant 1: EU Laboratory Report section with entries and no sub-sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: Laboratory Study Types (preferred)

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

1..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:lab-subsections

0..*

Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: Laboratory Study Types (preferred)

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

1..*

Nested Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

1..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:annotations

0..*

Annotation comment
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

system

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

version

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48767-8

0..1

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

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

0..1