CH LAB Composition: Laboratory Report - CH LAB-Report (R4) v1.0.0-ci-build

A set of rules under which this content was created

language

0..1

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

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

information-recipient

0..*

(Complex)

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

0..1

Unique id for inter-element referencing

0..0

url

1..1

basedOn-order-or-requisition

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

value[x]

0..1

Value of extension

0..*

(Complex)

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

0..1

Unique id for inter-element referencing

0..0

url

1..1

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

Slices for value[x]

0..1

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

valueIdentifier

Reference(ServiceRequest)

valueReference

value[x]:valueReference

0..1

Reference(CH LAB ServiceRequest: Laboratory Order)

Value of extension

diagnosticReport-reference

0..1

(Complex)

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

0..1

Unique id for inter-element referencing

0..0

url

1..1

Reference(CH LAB DiagnosticReport: Laboratory Report)

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

value[x]

1..1

Value of extension

0..1

Unique id for inter-element referencing

0..*

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

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

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

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..*

Extensions that cannot be ignored

0..1

Report identifier

status

?!Σ

1..1

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

1..1

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

Slices for category

0..*

Reference(CH LAB Patient)

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

category:studyType

0..*

CodeableConceptIPS

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

category:specialty

0..*

CodeableConceptIPS

The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles)
Binding: Laboratory Specialty (required)

subject

0..1

Who and/or what the composition is about

0..1

Unique id for inter-element referencing

0..*

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

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

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

0..1

Logical reference, when literal reference is not known

0..1

Reference(CH Core Encounter)

Text alternative for the resource

encounter

0..1

Context of the Composition

date

1..1

dateTime

Composition editing time

1..*

Reference(CH LAB PractitionerRole | CH LAB Practitioner | CH Core Organization)

Who and/or what authored the composition

0..1

Unique id for inter-element referencing

0..*

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

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

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

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

1..1

Human Readable name/title

confidentiality

0..1

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

attester

0..*

Attests to accuracy of composition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

dateTime

When the composition was attested

party

0..1

Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)

Who attested the composition

0..1

Unique id for inter-element referencing

0..*

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

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

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

0..1

Logical reference, when literal reference is not known

0..1

Reference(CH Core Organization)

Text alternative for the resource

custodian

0..1

Organization which maintains the composition

0..1

Unique id for inter-element referencing

0..*

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

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

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

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

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

target[x]

1..1

Target of the relationship

targetIdentifier

Reference(CH Core Composition)

targetReference

event

0..*

The clinical service(s) being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

period

0..1

Period

The period covered by the documentation

detail

0..*

The event(s) being documented

Slices for section

1..*

Composition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty

section:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

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

0..1

Text summary of the section, for human interpretation

0..1

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

0..1

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

entry

0..*

A reference to data that supports this section

0..1

section:lab-no-subsections

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

section

0..*

See section (Composition)

Nested Section

0..*

Variant 1: EU Laboratory Report section with entries and no sub-sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

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

0..*

Who and/or what authored the section

0..1

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

0..1

Text summary of the section, for human interpretation.

0..1

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

0..1

Reference(CH LAB Observation Results: Laboratory Report)

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

entry

1..*

A reference to data that supports this section

0..1

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

section:lab-subsections

0..*

Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

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

0..*

Who and/or what authored the section

0..1

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

0..1

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

0..1

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

0..1

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

section

1..*

Nested Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

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

0..*

Who and/or what authored the section

0..1

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

0..1

Text summary of the section, for human interpretation.

0..1

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

0..1

Reference(CH LAB Observation Results: Laboratory Report)

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

entry

1..*

A reference to data that supports this section

0..1

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

section:annotations

0..*

Annotation comment
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Coding

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

system

1..1

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

version

0..1

Version of the system - if relevant

1..1

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

0..1

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

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

1..1

Text summary of the section, for human interpretation

0..1

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

0..1

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

0..1

Documentation for this format

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

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.language

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.extension:diagnosticReport-reference.value[x].type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.status

CompositionStatus

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

FHIRDocumentTypeCodes

http://hl7.org/fhir/ValueSet/doc-typecodes

from the FHIR Standard

Composition.category

DocumentClassValueSet

http://hl7.org/fhir/ValueSet/document-classcodes

from the FHIR Standard

Composition.category:studyType

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.category:specialty

LabSpecialtyEuVs

http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab

Composition.subject.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.author.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.confidentiality

v3.ConfidentialityClassification

http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26

from the FHIR Standard

Composition.attester.mode

CompositionAttestationMode

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.attester.party.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.custodian.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.relatesTo.code

DocumentRelationshipType

http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1

from the FHIR Standard

Composition.event.code

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Composition.section.code

DocumentSectionCodes

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:lab-no-subsections.code

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.section:lab-no-subsections.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:lab-no-subsections.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:lab-no-subsections.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:lab-subsections.code

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.section:lab-subsections.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:lab-subsections.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:lab-subsections.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:lab-subsections.section.code

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.section:lab-subsections.section.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:lab-subsections.section.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:lab-subsections.section.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:annotations.code

Pattern: LOINC Code 48767-8

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:annotations.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:annotations.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:annotations.emptyReason

Description & Constraints

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section: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 CHCoreComposition

Summary

Mandatory: 3 elements(8 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from CHCoreComposition

Name	Card.	Type	Description & Constraints
Composition	0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
information-recipient	0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]	0..1	Reference(CH LAB Practitioner \| Device \| CH LAB Patient \| RelatedPerson \| CH LAB PractitionerRole \| CH Core Organization)	Value of extension
basedOn-order-or-requisition	0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
Slices for value[x]	0..1	Identifier, Reference(ServiceRequest)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference	0..1	Reference(CH LAB ServiceRequest: Laboratory Order)	Value of extension
diagnosticReport-reference	0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
value[x]	1..1	Reference(CH LAB DiagnosticReport: Laboratory Report)	Value of extension
reference	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	0..1	Identifier	Report identifier
Slices for category	0..*	CodeableConcept	Report Category Slice: Unordered, Open by pattern:$this
category:studyType	0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required)
category:specialty	0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required)
subject	0..1	Reference(CH LAB Patient)	Who and/or what the composition is about
author	1..*	Reference(CH LAB PractitionerRole \| CH LAB Practitioner \| CH Core Organization)	Who and/or what authored the composition
custodian	0..1	Reference(CH Core Organization)	Organization which maintains the composition
Slices for section	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices			Content/Rules for all slices
title	1..1	string	Label for section (e.g. for ToC)
code	1..1	CodeableConcept	Classification of section (recommended)
section:lab-no-subsections	0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections
code	0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text	0..1	Narrative	Text summary of the section, for human interpretation.
entry	1..*	Reference(CH LAB Observation Results: Laboratory Report)	A reference to data that supports this section
section	0..0
section:lab-subsections	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
code	0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text	0..0
entry	0..0
section	1..*	BackboneElement	Nested Section
title	1..1	string	Label for section (e.g. for ToC)
code	1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text	0..1	Narrative	Text summary of the section, for human interpretation.
entry	1..*	Reference(CH LAB Observation Results: Laboratory Report)	A reference to data that supports this section
section	0..0
section:annotations	0..*	BackboneElement	Annotation comment
code	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding	1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text	1..1	Narrative	Text summary of the section, for human interpretation
entry	0..0
section	0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.category:studyType	required	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.category:specialty	required	LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab`
Composition.section:lab-no-subsections.code	preferred	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.section:lab-subsections.code	preferred	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(CH LAB Practitioner \| Device \| CH LAB Patient \| RelatedPerson \| CH LAB PractitionerRole \| CH Core Organization)	Value of extension
basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest)
value[x]:valueReference		0..1	Reference(CH LAB ServiceRequest: Laboratory Order)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(CH LAB DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required)
subject	Σ	0..1	Reference(CH LAB Patient)	Who and/or what the composition is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(CH LAB PractitionerRole \| CH LAB Practitioner \| CH Core Organization)	Who and/or what authored the composition
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
title	Σ	1..1	string	Human Readable name/title
custodian	Σ	0..1	Reference(CH Core Organization)	Organization which maintains the composition
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text	C	0..1	Narrative	Text summary of the section, for human interpretation.
entry	C	1..*	Reference(CH LAB Observation Results: Laboratory Report)	A reference to data that supports this section
section:lab-subsections	C	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
section	C	1..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text	C	0..1	Narrative	Text summary of the section, for human interpretation.
entry	C	1..*	Reference(CH LAB Observation Results: Laboratory Report)	A reference to data that supports this section
section:annotations	C	0..*	BackboneElement	Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status\|4.0.1` from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.category	example	DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.category:specialty	required	LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab`
Composition.section.code	example	DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:lab-no-subsections.code	preferred	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.section:lab-subsections.code	preferred	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab`
Composition.section:annotations.code	example	Pattern: LOINC Code 48767-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section: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()

Snapshot View

Composition

0..*

CHCoreComposition

Laboratory Report composition
This profile also imposes the profile Composition: Laboratory Report

0..1

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.language

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.extension:diagnosticReport-reference.value[x].type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.status

CompositionStatus

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

FHIRDocumentTypeCodes

http://hl7.org/fhir/ValueSet/doc-typecodes

from the FHIR Standard

Composition.category

DocumentClassValueSet

http://hl7.org/fhir/ValueSet/document-classcodes

from the FHIR Standard

Composition.category:studyType

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.category:specialty

LabSpecialtyEuVs

http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab

Composition.subject.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.author.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.confidentiality

v3.ConfidentialityClassification

http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26

from the FHIR Standard

Composition.attester.mode

CompositionAttestationMode

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.attester.party.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.custodian.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.relatesTo.code

DocumentRelationshipType

http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1

from the FHIR Standard

Composition.event.code

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Composition.section.code

DocumentSectionCodes

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:lab-no-subsections.code

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.section:lab-no-subsections.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:lab-no-subsections.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:lab-no-subsections.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:lab-subsections.code

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.section:lab-subsections.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:lab-subsections.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:lab-subsections.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:lab-subsections.section.code

http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Composition.section:lab-subsections.section.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:lab-subsections.section.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:lab-subsections.section.emptyReason

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:annotations.code

Pattern: LOINC Code 48767-8

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:annotations.mode

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:annotations.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:annotations.emptyReason