HL7 FHIR Implementation Guide Laboratory Report, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/lab-report/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/composition-it-lab | Version: 0.2.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: CompositionRefertoLabIt | ||
Descrizione del referto di laboratorio tramite il profilo della risorsa Composition per il referto di laboratorio.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | CompositionLabReportEu | Composition Referto di Laboratorio | |||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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1..1 | code | Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language.
Required Pattern: it-IT | |||||
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0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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Content/Rules for all slices | |||||||
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0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
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0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||
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0..1 | Reference(ServiceRequest) | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension | |||||
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0..* | (Complex) | Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
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0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||
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1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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0..* | (Complex) | Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. | ||||
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?!Σ | 1..1 | code | Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
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1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) | |||||
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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. | ||||
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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) | ||||
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Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | ||||
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Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | ||||
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Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | ||||
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Σ | 1..1 | dateTime | Data di modifica della risorsa Composition. | ||||
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Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report) | Chi e/o cosa è l'autore del referto di laboratorio. | ||||
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Σ | 1..1 | string | Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio | ||||
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Σ | 0..1 | code | Codice di confidenzialità della Composition. Binding: Confidentiality (required) | ||||
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1..* | BackboneElement | Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode | |||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
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0..1 | BackboneElement | Firmatario del documento FHIR. | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | |||||
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1..1 | dateTime | Riferimento temporale della firma. | |||||
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0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al firmatario. | |||||
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0..1 | BackboneElement | Validatore del documento FHIR. | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional | |||||
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0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al validatore. | |||||
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Σ | 0..1 | Reference(Organization - Lab Report) | Organizzazione che si occupa della conservazione del documento FHIR. | ||||
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C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2 | ||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Titolo della sezione. | |||||
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1..1 | CodeableConceptIPS | Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
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C | 0..* | BackboneElement | Variante 1: questa sezione presenta solo entry senza sottosezioni. Constraints: cmp-1, cmp-2 | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
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1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
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C | 0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
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C | 1..* | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | ||||
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C | 0..* | BackboneElement | Variante 2: questa sezione presenta sottosezioni senza entry Constraints: cmp-1, cmp-2 | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
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1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
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C | 1..* | BackboneElement | Sottosezione strutturata della sezione principale. | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
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1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred) | |||||
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C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section | ||||
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C | 0..* | BackboneElement | Commenti testuali Constraints: cmp-1, cmp-2 | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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C | 1..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | 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 | Confidentiality | 📦3.0.0 | THO v7.0 |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:authenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| Composition.section:lab-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| 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. |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | CompositionLabReportEu | Composition Referto di Laboratorio | |
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1..1 | code | Metadato che indica la lingua utilizzata per descrivere la risorsa. Required Pattern: it-IT | |
![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
0..* | InformationRecipient | Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). | |
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0..* | (Complex) | Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it | |
![]() ![]() |
1..1 | Identifier | Identificativo indipendente dalla versione. | |
![]() ![]() |
1..1 | code | Stato del Referto | |
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1..1 | CodeableConceptIPS | Referto di Laboratorio | |
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0..* | CodeableConceptIPS | Report Category | |
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1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | |
![]() ![]() |
0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | |
![]() ![]() |
1..1 | dateTime | Data di modifica della risorsa Composition. | |
![]() ![]() |
1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report) | Chi e/o cosa è l'autore del referto di laboratorio. | |
![]() ![]() |
1..1 | string | Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio | |
![]() ![]() |
0..1 | code | Codice di confidenzialità della Composition. Binding: Confidentiality (required) | |
![]() ![]() |
1..* | BackboneElement | Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode | |
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0..1 | BackboneElement | Firmatario del documento FHIR. | |
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Required Pattern: legal | |
![]() ![]() ![]() ![]() |
1..1 | dateTime | Riferimento temporale della firma. | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al firmatario. | |
![]() ![]() ![]() |
0..1 | BackboneElement | Validatore del documento FHIR. | |
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Required Pattern: professional | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al validatore. | |
![]() ![]() |
0..1 | Reference(Organization - Lab Report) | Organizzazione che si occupa della conservazione del documento FHIR. | |
![]() ![]() |
1..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() |
1..1 | string | Titolo della sezione. | |
![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Codice della sezione. | |
![]() ![]() |
Content/Rules for all slices | |||
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0..* | BackboneElement | Variante 1: questa sezione presenta solo entry senza sottosezioni. | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |
![]() ![]() ![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. | |
![]() ![]() ![]() ![]() |
1..* | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Variante 2: questa sezione presenta sottosezioni senza entry | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |
![]() ![]() ![]() ![]() |
0..0 | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() |
1..* | BackboneElement | Sottosezione strutturata della sezione principale. | |
![]() ![]() ![]() |
0..* | BackboneElement | Commenti testuali | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) | |
![]() ![]() ![]() ![]() |
1..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.confidentiality | Base | required | Confidentiality | 📦3.0.0 | THO v7.0 |
| Composition.section:lab-no-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| Composition.section:lab-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | CompositionLabReportEu | Composition Referto di Laboratorio | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
1..1 | code | Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language.
Required Pattern: it-IT | |||||
![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
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0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||
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0..1 | Reference(ServiceRequest) | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension | |||||
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0..* | (Complex) | Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
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0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension | |||||
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0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||
![]() ![]() ![]() ![]() |
1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() ![]() |
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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
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0..* | (Complex) | Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. | ||||
![]() ![]() |
?!Σ | 1..1 | code | Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
![]() ![]() |
1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) | |||||
![]() ![]() |
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. | ||||
![]() ![]() ![]() |
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) | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | ||||
![]() ![]() |
Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | ||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | ||||
![]() ![]() |
Σ | 1..1 | dateTime | Data di modifica della risorsa Composition. | ||||
![]() ![]() |
Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report) | Chi e/o cosa è l'autore del referto di laboratorio. | ||||
![]() ![]() |
Σ | 1..1 | string | Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio | ||||
![]() ![]() |
Σ | 0..1 | code | Codice di confidenzialità della Composition. Binding: Confidentiality (required) | ||||
![]() ![]() |
1..* | BackboneElement | Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode | |||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
![]() ![]() ![]() ![]() |
0..1 | dateTime | When the report was attested by the party | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report | |||||
![]() ![]() ![]() |
0..1 | BackboneElement | Firmatario del documento FHIR. | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | |||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Riferimento temporale della firma. | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al firmatario. | |||||
![]() ![]() ![]() |
0..1 | BackboneElement | Validatore del documento FHIR. | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional | |||||
![]() ![]() ![]() ![]() |
0..1 | dateTime | When the report was attested by the party | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al validatore. | |||||
![]() ![]() |
Σ | 0..1 | Reference(Organization - Lab Report) | Organizzazione che si occupa della conservazione del documento FHIR. | ||||
![]() ![]() |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
![]() ![]() ![]() |
1..1 | Target of the relationship | ||||||
![]() ![]() ![]() ![]() |
Identifier | |||||||
![]() ![]() ![]() ![]() |
Reference(Composition) | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | The laboratory service(s) being documented | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() |
Σ | 0..1 | Period | Period of time covered by the documentation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented | ||||
![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Titolo della sezione. | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Variante 1: questa sezione presenta solo entry senza sottosezioni. Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Variante 2: questa sezione presenta sottosezioni senza entry Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 1..* | BackboneElement | Sottosezione strutturata della sezione principale. | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Commenti testuali Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 1..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
Documentation for this format | ||||||||
| 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 | preferred | 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 | Confidentiality | 📦3.0.0 | THO v7.0 |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:authenticator.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 v7.0 |
| 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 | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| 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 | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| 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. |
| 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
Mandatory: 3 elements(7 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | CompositionLabReportEu | Composition Referto di Laboratorio | |||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
1..1 | code | Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language.
Required Pattern: it-IT | |||||
![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() |
0..* | string | 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..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(ServiceRequest) | Value of extension Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension | |||||
![]() ![]() ![]() |
0..* | (Complex) | Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
![]() ![]() ![]() |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||
![]() ![]() ![]() ![]() |
1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
0..* | (Complex) | Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. | ||||
![]() ![]() |
?!Σ | 1..1 | code | Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
![]() ![]() |
1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) | |||||
![]() ![]() |
Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() ![]() |
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) | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | ||||
![]() ![]() |
Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | ||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | ||||
![]() ![]() |
Σ | 1..1 | dateTime | Data di modifica della risorsa Composition. | ||||
![]() ![]() |
Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report) | Chi e/o cosa è l'autore del referto di laboratorio. | ||||
![]() ![]() |
Σ | 1..1 | string | Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio | ||||
![]() ![]() |
Σ | 0..1 | code | Codice di confidenzialità della Composition. Binding: Confidentiality (required) | ||||
![]() ![]() |
1..* | BackboneElement | Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode | |||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
![]() ![]() ![]() |
0..1 | BackboneElement | Firmatario del documento FHIR. | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | |||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Riferimento temporale della firma. | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al firmatario. | |||||
![]() ![]() ![]() |
0..1 | BackboneElement | Validatore del documento FHIR. | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al validatore. | |||||
![]() ![]() |
Σ | 0..1 | Reference(Organization - Lab Report) | Organizzazione che si occupa della conservazione del documento FHIR. | ||||
![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Titolo della sezione. | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Variante 1: questa sezione presenta solo entry senza sottosezioni. Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Variante 2: questa sezione presenta sottosezioni senza entry Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
![]() ![]() ![]() ![]() |
C | 1..* | BackboneElement | Sottosezione strutturata della sezione principale. | ||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred) | |||||
![]() ![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Commenti testuali Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
C | 1..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | 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 | Confidentiality | 📦3.0.0 | THO v7.0 |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:authenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:lab-no-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| Composition.section:lab-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| 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. |
| 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 | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | CompositionLabReportEu | Composition Referto di Laboratorio | |
![]() ![]() |
1..1 | code | Metadato che indica la lingua utilizzata per descrivere la risorsa. Required Pattern: it-IT | |
![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
0..* | InformationRecipient | Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). | |
![]() ![]() ![]() |
0..* | (Complex) | Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it | |
![]() ![]() |
1..1 | Identifier | Identificativo indipendente dalla versione. | |
![]() ![]() |
1..1 | code | Stato del Referto | |
![]() ![]() |
1..1 | CodeableConceptIPS | Referto di Laboratorio | |
![]() ![]() |
0..* | CodeableConceptIPS | Report Category | |
![]() ![]() |
1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | |
![]() ![]() |
0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | |
![]() ![]() |
1..1 | dateTime | Data di modifica della risorsa Composition. | |
![]() ![]() |
1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report) | Chi e/o cosa è l'autore del referto di laboratorio. | |
![]() ![]() |
1..1 | string | Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio | |
![]() ![]() |
0..1 | code | Codice di confidenzialità della Composition. Binding: Confidentiality (required) | |
![]() ![]() |
1..* | BackboneElement | Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode | |
![]() ![]() ![]() |
0..1 | BackboneElement | Firmatario del documento FHIR. | |
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Required Pattern: legal | |
![]() ![]() ![]() ![]() |
1..1 | dateTime | Riferimento temporale della firma. | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al firmatario. | |
![]() ![]() ![]() |
0..1 | BackboneElement | Validatore del documento FHIR. | |
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Required Pattern: professional | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al validatore. | |
![]() ![]() |
0..1 | Reference(Organization - Lab Report) | Organizzazione che si occupa della conservazione del documento FHIR. | |
![]() ![]() |
1..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() |
1..1 | string | Titolo della sezione. | |
![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Codice della sezione. | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
0..* | BackboneElement | Variante 1: questa sezione presenta solo entry senza sottosezioni. | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |
![]() ![]() ![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. | |
![]() ![]() ![]() ![]() |
1..* | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Variante 2: questa sezione presenta sottosezioni senza entry | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |
![]() ![]() ![]() ![]() |
0..0 | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() |
1..* | BackboneElement | Sottosezione strutturata della sezione principale. | |
![]() ![]() ![]() |
0..* | BackboneElement | Commenti testuali | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) | |
![]() ![]() ![]() ![]() |
1..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.confidentiality | Base | required | Confidentiality | 📦3.0.0 | THO v7.0 |
| Composition.section:lab-no-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| Composition.section:lab-subsections.code | Base | preferred | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | CompositionLabReportEu | Composition Referto di Laboratorio | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
1..1 | code | Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language.
Required Pattern: it-IT | |||||
![]() ![]() |
0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
0..* | string | 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 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(ServiceRequest) | Value of extension Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension | |||||
![]() ![]() ![]() |
0..* | (Complex) | Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension | |||||
![]() ![]() ![]() |
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||
![]() ![]() ![]() ![]() |
1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() ![]() |
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). | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
0..* | (Complex) | Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. | ||||
![]() ![]() |
?!Σ | 1..1 | code | Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
![]() ![]() |
1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) | |||||
![]() ![]() |
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. | ||||
![]() ![]() ![]() |
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) | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | ||||
![]() ![]() |
Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | ||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | ||||
![]() ![]() |
Σ | 1..1 | dateTime | Data di modifica della risorsa Composition. | ||||
![]() ![]() |
Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report) | Chi e/o cosa è l'autore del referto di laboratorio. | ||||
![]() ![]() |
Σ | 1..1 | string | Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio | ||||
![]() ![]() |
Σ | 0..1 | code | Codice di confidenzialità della Composition. Binding: Confidentiality (required) | ||||
![]() ![]() |
1..* | BackboneElement | Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode | |||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
![]() ![]() ![]() ![]() |
0..1 | dateTime | When the report was attested by the party | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report | |||||
![]() ![]() ![]() |
0..1 | BackboneElement | Firmatario del documento FHIR. | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | |||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Riferimento temporale della firma. | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al firmatario. | |||||
![]() ![]() ![]() |
0..1 | BackboneElement | Validatore del documento FHIR. | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional | |||||
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0..1 | dateTime | When the report was attested by the party | |||||
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0..1 | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report) | Riferimento al validatore. | |||||
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Σ | 0..1 | Reference(Organization - Lab Report) | Organizzazione che si occupa della conservazione del documento FHIR. | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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Σ | 0..* | BackboneElement | The laboratory service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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. | ||||
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Σ | 0..1 | Period | Period of time covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented | ||||
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C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2 | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Titolo della sezione. | |||||
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1..1 | CodeableConceptIPS | Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 0..* | BackboneElement | Variante 1: questa sezione presenta solo entry senza sottosezioni. Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
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1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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C | 0..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report) | A reference to data that supports this section | ||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | BackboneElement | Variante 2: questa sezione presenta sottosezioni senza entry Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred) | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 1..* | BackboneElement | Sottosezione strutturata della sezione principale. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | BackboneElement | Commenti testuali Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 1..1 | Narrative | Sintesi testuale della sezione, per l'interpretazione dell'utente. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
Documentation for this format | ||||||||
| 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 | preferred | 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 | Confidentiality | 📦3.0.0 | THO v7.0 |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:authenticator.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 v7.0 |
| 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 | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| 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 | Sezioni Composition Lab Report | 📦0.2.0 | This IG |
| 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. |
| 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
Mandatory: 3 elements(7 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron