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

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

Resource Profile: Composition: Imaging Report

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

Usages:

• Derived from this Profile: ImComposition: obligations
• Use this Profile: Bundle: Imaging Report
• Refer to this Profile: DiagnosticReport: Imaging Report
• Examples for this Profile: Composition/G1Composition

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEu	Imaging Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
extension:basedOn		0..*	Reference(Resource)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:diagnosticreport-reference		0..1	Reference(DiagnosticReport: Imaging Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Report identifier
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: HL7 EU Imaging Report Types (extensible)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for category	Σ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
category:imaging	Σ	1..1	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
date	Σ	1..1	dateTime	Composition editing time
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	Σ	0..*	Reference(PractitionerRole (EU core))	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
author:organization	Σ	0..*	Reference(Organization (EU core))	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:detail.concept
event:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event:imagingstudy	Σ	1..*	BackboneElement	Modality
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	Σ	1..*	CodeableReference(ImagingStudy: General)	The event(s) being documented, as code(s), reference(s), or both Binding: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible)
event:procedure	Σ	1..*	BackboneElement	Study Type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	Σ	1..*	CodeableReference(Procedure: Imaging Acquisition)	The event(s) being documented, as code(s), reference(s), or both Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
Slices for section	C	8..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy	C	1..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(ImagingStudy: General)	Imaging Study Reference
section:order	C	1..1	BackboneElement	Order Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging Order)	Order reference
section:history	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:procedure	C	1..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure: Imaging Acquisition)	A reference to data that supports this section
section:comparison	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy: General | ImagingSelection: General)	A reference to data that supports this section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:impression	C	1..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition: EU Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:suggestion	C	0..*	Reference(CarePlan: EU CarePlan | ServiceRequest EU)	A reference to data that supports this section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	extensible	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern Value: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.event:imagingstudy.detail	extensible	https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Composition.event:procedure.detail	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard

Constraints

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

This structure is derived from CompositionEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEu	Imaging Report composition
Slices for extension				Content/Rules for all slices
extension:diagnosticreport-reference		0..1	Reference(DiagnosticReport: Imaging Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
identifier		1..*	Identifier	Report identifier
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: HL7 EU Imaging Report Types (extensible)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
Slices for category				Content/Rules for all slices
category:imaging		1..1	CodeableConcept	Categorization of Composition Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
coding		1..1	Coding	Code defined by a terminology system
Slices for author		1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author		0..*	Reference(PractitionerRole (EU core))	Who and/or what authored the composition
author:authoringDevice		0..*	Reference(Device)	Who and/or what authored the composition
author:organization		0..*	Reference(Organization (EU core))	Who and/or what authored the composition
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
Slices for event		2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:detail.concept
event:imagingstudy		1..*	BackboneElement	Modality
detail		1..*	CodeableReference(ImagingStudy: General)	The event(s) being documented, as code(s), reference(s), or both Binding: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible)
event:procedure		1..*	BackboneElement	Study Type
detail		1..*	CodeableReference(Procedure: Imaging Acquisition)	The event(s) being documented, as code(s), reference(s), or both Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
Slices for section	C	8..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
emptyReason		0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy		1..1	BackboneElement	Imaging Study
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
Slices for entry		1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy		1..*	Reference(ImagingStudy: General)	Imaging Study Reference
section:order		1..1	BackboneElement	Order
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order		0..*	Reference(ServiceRequest: Imaging Order)	Order reference
section:history		1..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
section:procedure		1..1	BackboneElement	Procedure
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure		0..*	Reference(Procedure: Imaging Acquisition)	A reference to data that supports this section
section:comparison		1..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy		0..*	Reference(ImagingStudy: General | ImagingSelection: General)	A reference to data that supports this section
section:findings		1..1	BackboneElement	Findings
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:keyimage		0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:impression		1..1	BackboneElement	Impressions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:impression		0..*	Reference(Condition: EU Condition)	A reference to data that supports this section
entry:keyimage		0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:recommendation		1..1	BackboneElement	Recommendations
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:suggestion		0..*	Reference(CarePlan: EU CarePlan | ServiceRequest EU)	A reference to data that supports this section
section:communication		0..1	BackboneElement	Communications
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
Composition.event:imagingstudy.detail	extensible	https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Composition.event:procedure.detail	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEu	Imaging Report composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn		0..*	Reference(Resource)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:diagnosticreport-reference		0..1	Reference(DiagnosticReport: Imaging Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	1..*	Identifier	Report identifier
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: HL7 EU Imaging Report Types (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for category	Σ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
category:imaging	Σ	1..1	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..*	Reference(Patient | Practitioner | Group | Device | Location)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	Σ	0..*	Reference(PractitionerRole (EU core))	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
author:organization	Σ	0..*	Reference(Organization (EU core))	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:detail.concept
event:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
event:imagingstudy	Σ	1..*	BackboneElement	Modality
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	1..*	CodeableReference(ImagingStudy: General)	The event(s) being documented, as code(s), reference(s), or both Binding: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible)
event:procedure	Σ	1..*	BackboneElement	Study Type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	1..*	CodeableReference(Procedure: Imaging Acquisition)	The event(s) being documented, as code(s), reference(s), or both Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
Slices for section	C	8..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:imagingstudy	C	1..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(ImagingStudy: General)	Imaging Study Reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:order	C	1..1	BackboneElement	Order Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging Order)	Order reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:history	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:procedure	C	1..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure: Imaging Acquisition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:comparison	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy: General | ImagingSelection: General)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:impression	C	1..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition: EU Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:suggestion	C	0..*	Reference(CarePlan: EU CarePlan | ServiceRequest EU)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	extensible	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern Value: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:imagingstudy.detail	extensible	https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Composition.event:procedure.detail	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:imagingstudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:imagingstudy.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:order.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:history.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:procedure.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:comparison.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:findings.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:impression.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:recommendation.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:communication.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG

Constraints

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

This structure is derived from CompositionEu

Summary

Mandatory: 20 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• PractitionerRole (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core)
• ImagingStudy: General (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingStudy)
• Procedure: Imaging Acquisition (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImProcedure)
• ServiceRequest: Imaging Order (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImOrder)
• ImagingSelection: General (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingSelection)
• Observation: Imaging Finding (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImFinding)
• DocumentReference: Key Image (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageDocumentReference)
• ImagingSelection: Key Image (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageImagingSelection)
• Condition: EU Condition (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ConditionEu)
• CarePlan: EU CarePlan (http://hl7.eu/fhir/imaging-r5/StructureDefinition/CarePlanEu)
• ServiceRequest EU (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestEu)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
• http://hl7.org/fhir/StructureDefinition/note|5.3.0-ballot

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEu	Imaging Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
extension:basedOn		0..*	Reference(Resource)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:diagnosticreport-reference		0..1	Reference(DiagnosticReport: Imaging Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Report identifier
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: HL7 EU Imaging Report Types (extensible)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for category	Σ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
category:imaging	Σ	1..1	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
date	Σ	1..1	dateTime	Composition editing time
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	Σ	0..*	Reference(PractitionerRole (EU core))	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
author:organization	Σ	0..*	Reference(Organization (EU core))	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:detail.concept
event:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event:imagingstudy	Σ	1..*	BackboneElement	Modality
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	Σ	1..*	CodeableReference(ImagingStudy: General)	The event(s) being documented, as code(s), reference(s), or both Binding: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible)
event:procedure	Σ	1..*	BackboneElement	Study Type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	Σ	1..*	CodeableReference(Procedure: Imaging Acquisition)	The event(s) being documented, as code(s), reference(s), or both Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
Slices for section	C	8..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy	C	1..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(ImagingStudy: General)	Imaging Study Reference
section:order	C	1..1	BackboneElement	Order Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging Order)	Order reference
section:history	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:procedure	C	1..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure: Imaging Acquisition)	A reference to data that supports this section
section:comparison	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy: General | ImagingSelection: General)	A reference to data that supports this section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:impression	C	1..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition: EU Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:suggestion	C	0..*	Reference(CarePlan: EU CarePlan | ServiceRequest EU)	A reference to data that supports this section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	extensible	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern Value: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.event:imagingstudy.detail	extensible	https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Composition.event:procedure.detail	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()
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 CompositionEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEu	Imaging Report composition
Slices for extension				Content/Rules for all slices
extension:diagnosticreport-reference		0..1	Reference(DiagnosticReport: Imaging Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
identifier		1..*	Identifier	Report identifier
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: HL7 EU Imaging Report Types (extensible)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
Slices for category				Content/Rules for all slices
category:imaging		1..1	CodeableConcept	Categorization of Composition Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
coding		1..1	Coding	Code defined by a terminology system
Slices for author		1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author		0..*	Reference(PractitionerRole (EU core))	Who and/or what authored the composition
author:authoringDevice		0..*	Reference(Device)	Who and/or what authored the composition
author:organization		0..*	Reference(Organization (EU core))	Who and/or what authored the composition
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	CodeableConcept	personal | professional | legal | official Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
Slices for event		2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:detail.concept
event:imagingstudy		1..*	BackboneElement	Modality
detail		1..*	CodeableReference(ImagingStudy: General)	The event(s) being documented, as code(s), reference(s), or both Binding: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible)
event:procedure		1..*	BackboneElement	Study Type
detail		1..*	CodeableReference(Procedure: Imaging Acquisition)	The event(s) being documented, as code(s), reference(s), or both Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
Slices for section	C	8..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
code		1..1	CodeableConcept	Classification of section (recommended)
emptyReason		0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy		1..1	BackboneElement	Imaging Study
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
Slices for entry		1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy		1..*	Reference(ImagingStudy: General)	Imaging Study Reference
section:order		1..1	BackboneElement	Order
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order		0..*	Reference(ServiceRequest: Imaging Order)	Order reference
section:history		1..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
section:procedure		1..1	BackboneElement	Procedure
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure		0..*	Reference(Procedure: Imaging Acquisition)	A reference to data that supports this section
section:comparison		1..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy		0..*	Reference(ImagingStudy: General | ImagingSelection: General)	A reference to data that supports this section
section:findings		1..1	BackboneElement	Findings
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:keyimage		0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:impression		1..1	BackboneElement	Impressions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:impression		0..*	Reference(Condition: EU Condition)	A reference to data that supports this section
entry:keyimage		0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
section:recommendation		1..1	BackboneElement	Recommendations
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:suggestion		0..*	Reference(CarePlan: EU CarePlan | ServiceRequest EU)	A reference to data that supports this section
section:communication		0..1	BackboneElement	Communications
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
Composition.event:imagingstudy.detail	extensible	https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Composition.event:procedure.detail	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEu	Imaging Report composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn		0..*	Reference(Resource)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:diagnosticreport-reference		0..1	Reference(DiagnosticReport: Imaging Report)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	1..*	Identifier	Report identifier
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: HL7 EU Imaging Report Types (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for category	Σ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
category:imaging	Σ	1..1	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..*	Reference(Patient | Practitioner | Group | Device | Location)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this
author:author	Σ	0..*	Reference(PractitionerRole (EU core))	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
author:organization	Σ	0..*	Reference(Organization (EU core))	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: legal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/composition-attestation-mode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: professional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole (EU core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:detail.concept
event:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
event:imagingstudy	Σ	1..*	BackboneElement	Modality
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	1..*	CodeableReference(ImagingStudy: General)	The event(s) being documented, as code(s), reference(s), or both Binding: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible)
event:procedure	Σ	1..*	BackboneElement	Study Type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	1..*	CodeableReference(Procedure: Imaging Acquisition)	The event(s) being documented, as code(s), reference(s), or both Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
Slices for section	C	8..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:imagingstudy	C	1..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(ImagingStudy: General)	Imaging Study Reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:order	C	1..1	BackboneElement	Order Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging Order)	Order reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:history	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:procedure	C	1..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure: Imaging Acquisition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:comparison	C	1..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy: General | ImagingSelection: General)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:impression	C	1..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation: Imaging Finding)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition: EU Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(DocumentReference: Key Image | ImagingSelection: Key Image)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:suggestion	C	0..*	Reference(CarePlan: EU CarePlan | ServiceRequest EU)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	extensible	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:legalAuthenticator.mode	preferred	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.attester:resultValidator.mode	preferred	Pattern Value: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:imagingstudy.detail	extensible	https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Composition.event:procedure.detail	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:imagingstudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:imagingstudy.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:order.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:history.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:procedure.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:comparison.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:findings.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:impression.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:recommendation.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:communication.emptyReason	preferred	ImSectionEmptyReason http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason From this IG

Constraints

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

This structure is derived from CompositionEu

Summary

Mandatory: 20 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• PractitionerRole (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core)
• ImagingStudy: General (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingStudy)
• Procedure: Imaging Acquisition (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImProcedure)
• ServiceRequest: Imaging Order (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImOrder)
• ImagingSelection: General (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingSelection)
• Observation: Imaging Finding (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImFinding)
• DocumentReference: Key Image (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageDocumentReference)
• ImagingSelection: Key Image (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageImagingSelection)
• Condition: EU Condition (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ConditionEu)
• CarePlan: EU CarePlan (http://hl7.eu/fhir/imaging-r5/StructureDefinition/CarePlanEu)
• ServiceRequest EU (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestEu)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference
• http://hl7.org/fhir/StructureDefinition/note|5.3.0-ballot

Slices

This structure defines the following Slices:

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

Maturity: 1