HL7 Europe Laboratory Report
0.1.0 - trial-use 150

This page is part of the HL7 Europe Laboratory Report (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Composition: Laboratory Report

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab Version: 0.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: CompositionLabReportEu

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

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

Based on order

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

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

Usage:

Formal Views of Profile Content

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

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentLaboratory Report composition
... text 0..1NarrativeNarrative text
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Open by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... identifier 0..1IdentifierReport identifier
... status 1..1codeStatus of the Report
... type 1..1CodeableConceptIPSType of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category 0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject 1..1Reference(Patient: Person | Patient: Animal | Group | Location | Device)Who and/or what this report is about
... encounter 0..1Reference(Encounter)The healthcare event which this Laboratory Report is about (when test ordered).
... author 1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the Laboratory Report
... title 1..1stringLaboratory Report
... attester 0..*BackboneElementAttests the report accuracy
.... mode 1..1codeThe type of attestation
.... time 0..1dateTimeWhen the report was attested by the party
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the report
... event 0..*BackboneElementThe laboratory service(s) being documented
.... code 0..*CodeableConceptCode(s) that apply to the laboratory service(s) being documented
.... period 0..1PeriodPeriod of time covered by the documentation
.... detail 0..*Reference(Resource)The laboratory service(s) being documented
... Slices for section 1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
.... section:lab-no-subsections 0..*BackboneElementVariant 1: EU Laboratory Report section with entries and no sub-sections
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..1NarrativeText summary of the section, for human interpretation.
..... entry 1..*Reference(Observation Results: laboratory)A reference to data that supports this section
..... section 0..0
.... section:lab-subsections 0..*BackboneElementVariant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..0
..... entry 0..0
..... section 1..*BackboneElementNested Section
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text 0..1NarrativeText summary of the section, for human interpretation.
...... entry 1..*Reference(Observation Results: laboratory)A reference to data that supports this section
...... section 0..0
.... section:annotations 0..*BackboneElementAnnotation comment
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text 1..1NarrativeText summary of the section, for human interpretation
..... entry 0..0
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
Composition.section:lab-no-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentLaboratory Report composition
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeNarrative text
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierReport identifier
... status ?!Σ1..1codeStatus of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSType of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient: Person | Patient: Animal | Group | Location | Device)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter)The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the Laboratory Report
... title Σ1..1stringLaboratory Report
... attester 0..*BackboneElementAttests the report accuracy
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the report was attested by the party
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the report
... event Σ0..*BackboneElementThe laboratory service(s) being documented
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodPeriod of time covered by the documentation
.... detail Σ0..*Reference(Resource)The laboratory service(s) being documented
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:lab-no-subsections C0..*BackboneElementVariant 1: EU Laboratory Report section with entries and no sub-sections
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text C0..1NarrativeText summary of the section, for human interpretation.
..... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
.... section:lab-subsections C0..*BackboneElementVariant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... section C1..*BackboneElementNested Section
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text C0..1NarrativeText summary of the section, for human interpretation.
...... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
.... section:annotations C0..*BackboneElementAnnotation comment
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text C1..1NarrativeText summary of the section, for human interpretation

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentLaboratory Report composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeNarrative text
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierReport identifier
... status ?!Σ1..1codeStatus of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSType of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient: Person | Patient: Animal | Group | Location | Device)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter)The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the Laboratory Report
... title Σ1..1stringLaboratory Report
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests the report accuracy
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the report was attested by the party
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the report
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe laboratory service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodPeriod of time covered by the documentation
.... detail Σ0..*Reference(Resource)The laboratory service(s) being documented
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:lab-no-subsections C0..*BackboneElementVariant 1: EU Laboratory Report section with entries and no sub-sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation.
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:lab-subsections C0..*BackboneElementVariant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C1..*BackboneElementNested Section
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
...... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
...... text C0..1NarrativeText summary of the section, for human interpretation.
...... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

...... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
...... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:annotations C0..*BackboneElementAnnotation comment
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Clinical Document

Summary

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

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.extension.value[x] is sliced based on the value of type:$this
  • The element Composition.category is sliced based on the value of pattern:$this
  • The element Composition.section is sliced based on the values of exists:$this.section, exists:$this.entry

Maturity: 2

Differential View

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentLaboratory Report composition
... text 0..1NarrativeNarrative text
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Open by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... identifier 0..1IdentifierReport identifier
... status 1..1codeStatus of the Report
... type 1..1CodeableConceptIPSType of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category 0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject 1..1Reference(Patient: Person | Patient: Animal | Group | Location | Device)Who and/or what this report is about
... encounter 0..1Reference(Encounter)The healthcare event which this Laboratory Report is about (when test ordered).
... author 1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the Laboratory Report
... title 1..1stringLaboratory Report
... attester 0..*BackboneElementAttests the report accuracy
.... mode 1..1codeThe type of attestation
.... time 0..1dateTimeWhen the report was attested by the party
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the report
... event 0..*BackboneElementThe laboratory service(s) being documented
.... code 0..*CodeableConceptCode(s) that apply to the laboratory service(s) being documented
.... period 0..1PeriodPeriod of time covered by the documentation
.... detail 0..*Reference(Resource)The laboratory service(s) being documented
... Slices for section 1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
.... section:lab-no-subsections 0..*BackboneElementVariant 1: EU Laboratory Report section with entries and no sub-sections
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..1NarrativeText summary of the section, for human interpretation.
..... entry 1..*Reference(Observation Results: laboratory)A reference to data that supports this section
..... section 0..0
.... section:lab-subsections 0..*BackboneElementVariant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text 0..0
..... entry 0..0
..... section 1..*BackboneElementNested Section
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text 0..1NarrativeText summary of the section, for human interpretation.
...... entry 1..*Reference(Observation Results: laboratory)A reference to data that supports this section
...... section 0..0
.... section:annotations 0..*BackboneElementAnnotation comment
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text 1..1NarrativeText summary of the section, for human interpretation
..... entry 0..0
..... section 0..0

doco Documentation for this format

Terminology Bindings (Differential)

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

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentLaboratory Report composition
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeNarrative text
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierReport identifier
... status ?!Σ1..1codeStatus of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSType of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient: Person | Patient: Animal | Group | Location | Device)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter)The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the Laboratory Report
... title Σ1..1stringLaboratory Report
... attester 0..*BackboneElementAttests the report accuracy
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the report was attested by the party
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the report
... event Σ0..*BackboneElementThe laboratory service(s) being documented
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodPeriod of time covered by the documentation
.... detail Σ0..*Reference(Resource)The laboratory service(s) being documented
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:lab-no-subsections C0..*BackboneElementVariant 1: EU Laboratory Report section with entries and no sub-sections
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... text C0..1NarrativeText summary of the section, for human interpretation.
..... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
.... section:lab-subsections C0..*BackboneElementVariant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: Laboratory Study Types (preferred)
..... section C1..*BackboneElementNested Section
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... text C0..1NarrativeText summary of the section, for human interpretation.
...... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
.... section:annotations C0..*BackboneElementAnnotation comment
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text C1..1NarrativeText summary of the section, for human interpretation

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentLaboratory Report composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeNarrative text
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierReport identifier
... status ?!Σ1..1codeStatus of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSType of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient: Person | Patient: Animal | Group | Location | Device)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter)The healthcare event which this Laboratory Report is about (when test ordered).
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the Laboratory Report
... title Σ1..1stringLaboratory Report
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests the report accuracy
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode