HL7 Europe Laboratory Report
0.1.1 - trial-use 150

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## Resource Profile: Composition: Laboratory Report

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab | Version: 0.1.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: CompositionLabReportEu
Other Identifiers: OID:2.16.840.1.113883.2.51.22.1.42.5
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 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:

- Use this Resource Profile: Bundle: Laboratory Report
- Refer to this Resource Profile: DiagnosticReport: Laboratory Report
- Examples for this Resource Profile: Composition/comp-lab-example

### 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
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | Laboratory Report composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Narrative text ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:basedOn-order-or-requisition |  | 0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x] |  | 0..1 |  | Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueIdentifier |  |  | Identifier |
valueReference |  |  | Reference(ServiceRequest) |
value[x]:valueReference |  | 0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension ele-1: All FHIR elements must have a @value or children
extension:information-recipient |  | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension ele-1: All FHIR elements must have a @value or children
extension:diagnosticReport-reference |  | 0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x] |  | 1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension ele-1: All FHIR elements must have a @value or children
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 0..1 | Identifier | Report identifier ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type | Σ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) ele-1: All FHIR elements must have a @value or children
Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. ele-1: All FHIR elements must have a @value or children
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) ele-1: All FHIR elements must have a @value or children
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Who and/or what this report is about ele-1: All FHIR elements must have a @value or children
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). ele-1: All FHIR elements must have a @value or children
date | Σ | 1..1 | dateTime | Composition editing time ele-1: All FHIR elements must have a @value or children
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Laboratory Report ele-1: All FHIR elements must have a @value or children
title | Σ | 1..1 | string | Laboratory Report ele-1: All FHIR elements must have a @value or children
attester |  | 0..* | BackboneElement | Attests the report accuracy ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode |  | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
time |  | 0..1 | dateTime | When the report was attested by the party ele-1: All FHIR elements must have a @value or children
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report ele-1: All FHIR elements must have a @value or children
event | Σ | 0..* | BackboneElement | The laboratory service(s) being documented ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children
period | Σ | 0..1 | Period | Period of time covered by the documentation ele-1: All FHIR elements must have a @value or children
detail | Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented ele-1: All FHIR elements must have a @value or children
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
section:lab-no-subsections | C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:lab-subsections | C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
section | C | 1..* | BackboneElement | Nested Section ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:annotations | C | 0..* | BackboneElement | Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8
text | C | 1..1 | Narrative | Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | LabReportTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab` from this IG
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.category:studyType | required | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.category:specialty | required | LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab` from this IG
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:lab-no-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.section.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:annotations.code | example | Pattern: LOINC Code 48767-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

#### Constraints

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

This structure is derived from Clinical Document

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | Laboratory Report composition
text |  | 0..1 | Narrative | Narrative text
Slices for extension |  |  |  | Content/Rules for all slices
extension:basedOn-order-or-requisition |  | 0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
Slices for value[x] |  | 0..1 | Identifier, Reference(ServiceRequest) | Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference |  | 0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension
extension:information-recipient |  | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x] |  | 0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension
extension:diagnosticReport-reference |  | 0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
value[x] |  | 1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
identifier |  | 0..1 | Identifier | Report identifier
status |  | 1..1 | code | Status of the Report
type |  | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred)
Slices for category |  | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this
category:studyType |  | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty |  | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject |  | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Who and/or what this report is about
encounter |  | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered).
author |  | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Laboratory Report
title |  | 1..1 | string | Laboratory Report
attester |  | 0..* | BackboneElement | Attests the report accuracy
mode |  | 1..1 | code | The type of attestation
time |  | 0..1 | dateTime | When the report was attested by the party
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report
event |  | 0..* | BackboneElement | The laboratory service(s) being documented
code |  | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented
period |  | 0..1 | Period | Period of time covered by the documentation
detail |  | 0..* | Reference(Resource) | The laboratory service(s) being documented
Slices for section |  | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices |  |  |  | Content/Rules for all slices
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended)
section:lab-no-subsections |  | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text |  | 0..1 | Narrative | Text 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..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text |  | 0..0 |  |
entry |  | 0..0 |  |
section |  | 1..* | BackboneElement | Nested Section
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text |  | 0..1 | Narrative | Text 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..* | BackboneElement | Annotation comment
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8
text |  | 1..1 | Narrative | Text summary of the section, for human interpretation
entry |  | 0..0 |  |
section |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Composition.type | preferred | LabReportTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab` from this IG
Composition.category:studyType | required | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.category:specialty | required | LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab` from this IG
Composition.section:lab-no-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.section.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | Laboratory 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Narrative text
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition |  | 0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x] |  | 0..1 |  | Value of extension Slice: Unordered, Open by type:$this
valueIdentifier |  |  | Identifier |
valueReference |  |  | Reference(ServiceRequest) |
value[x]:valueReference |  | 0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension
extension:information-recipient |  | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension
extension:diagnosticReport-reference |  | 0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x] |  | 1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Report identifier
status | ?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred)
Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject | Σ | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Who and/or what this report is about
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered).
date | Σ | 1..1 | dateTime | Composition editing time
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Laboratory Report
title | Σ | 1..1 | string | Laboratory Report
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests the report accuracy
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 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the report was attested by the party
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The laboratory service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | Period of time covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | 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
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
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: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:lab-no-subsections | C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification 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..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.
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:lab-subsections | C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification 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..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 1..* | BackboneElement | Nested Section
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification 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..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.
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotations | C | 0..* | BackboneElement | Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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 | 1..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.extension:diagnosticReport-reference.value[x].type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | LabReportTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab` from this IG
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.category:studyType | required | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.category:specialty | required | LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab` from this IG
Composition.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:lab-no-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-no-subsections.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:lab-no-subsections.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:lab-no-subsections.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:lab-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:lab-subsections.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:lab-subsections.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:lab-subsections.section.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:lab-subsections.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:lab-subsections.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:annotations.code | example | Pattern: LOINC Code 48767-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:annotations.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:annotations.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:annotations.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

#### Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

- ServiceRequest: Laboratory Order (http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab)
- Practitioner: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab)
- Patient: Person (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab)
- PractitionerRole: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab)
- DiagnosticReport: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab)
- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Patient: Animal (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab)
- Observation Results: laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab)

Extensions

This structure refers to these extensions:

- http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
- http://hl7.eu/fhir/StructureDefinition/information-recipient
- http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference

Slices

This structure defines the following Slices:

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

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | Laboratory Report composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Narrative text ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:basedOn-order-or-requisition |  | 0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x] |  | 0..1 |  | Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueIdentifier |  |  | Identifier |
valueReference |  |  | Reference(ServiceRequest) |
value[x]:valueReference |  | 0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension ele-1: All FHIR elements must have a @value or children
extension:information-recipient |  | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension ele-1: All FHIR elements must have a @value or children
extension:diagnosticReport-reference |  | 0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x] |  | 1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension ele-1: All FHIR elements must have a @value or children
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 0..1 | Identifier | Report identifier ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type | Σ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) ele-1: All FHIR elements must have a @value or children
Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. ele-1: All FHIR elements must have a @value or children
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) ele-1: All FHIR elements must have a @value or children
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Who and/or what this report is about ele-1: All FHIR elements must have a @value or children
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). ele-1: All FHIR elements must have a @value or children
date | Σ | 1..1 | dateTime | Composition editing time ele-1: All FHIR elements must have a @value or children
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Laboratory Report ele-1: All FHIR elements must have a @value or children
title | Σ | 1..1 | string | Laboratory Report ele-1: All FHIR elements must have a @value or children
attester |  | 0..* | BackboneElement | Attests the report accuracy ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode |  | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
time |  | 0..1 | dateTime | When the report was attested by the party ele-1: All FHIR elements must have a @value or children
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report ele-1: All FHIR elements must have a @value or children
event | Σ | 0..* | BackboneElement | The laboratory service(s) being documented ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children
period | Σ | 0..1 | Period | Period of time covered by the documentation ele-1: All FHIR elements must have a @value or children
detail | Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented ele-1: All FHIR elements must have a @value or children
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
section:lab-no-subsections | C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:lab-subsections | C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
section | C | 1..* | BackboneElement | Nested Section ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:annotations | C | 0..* | BackboneElement | Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title |  | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8
text | C | 1..1 | Narrative | Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | LabReportTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab` from this IG
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.category:studyType | required | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.category:specialty | required | LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab` from this IG
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:lab-no-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.section.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:annotations.code | example | Pattern: LOINC Code 48767-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

#### Constraints

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

Differential View

This structure is derived from Clinical Document

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | Laboratory Report composition
text |  | 0..1 | Narrative | Narrative text
Slices for extension |  |  |  | Content/Rules for all slices
extension:basedOn-order-or-requisition |  | 0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
Slices for value[x] |  | 0..1 | Identifier, Reference(ServiceRequest) | Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference |  | 0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension
extension:information-recipient |  | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x] |  | 0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension
extension:diagnosticReport-reference |  | 0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
value[x] |  | 1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
identifier |  | 0..1 | Identifier | Report identifier
status |  | 1..1 | code | Status of the Report
type |  | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred)
Slices for category |  | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this
category:studyType |  | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty |  | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject |  | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Who and/or what this report is about
encounter |  | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered).
author |  | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Laboratory Report
title |  | 1..1 | string | Laboratory Report
attester |  | 0..* | BackboneElement | Attests the report accuracy
mode |  | 1..1 | code | The type of attestation
time |  | 0..1 | dateTime | When the report was attested by the party
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report
event |  | 0..* | BackboneElement | The laboratory service(s) being documented
code |  | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented
period |  | 0..1 | Period | Period of time covered by the documentation
detail |  | 0..* | Reference(Resource) | The laboratory service(s) being documented
Slices for section |  | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices |  |  |  | Content/Rules for all slices
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended)
section:lab-no-subsections |  | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text |  | 0..1 | Narrative | Text 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..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text |  | 0..0 |  |
entry |  | 0..0 |  |
section |  | 1..* | BackboneElement | Nested Section
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text |  | 0..1 | Narrative | Text 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..* | BackboneElement | Annotation comment
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8
text |  | 1..1 | Narrative | Text summary of the section, for human interpretation
entry |  | 0..0 |  |
section |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Composition.type | preferred | LabReportTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab` from this IG
Composition.category:studyType | required | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.category:specialty | required | LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab` from this IG
Composition.section:lab-no-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.section.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | Laboratory 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Narrative text
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:basedOn-order-or-requisition |  | 0..* | (Complex) | Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x] |  | 0..1 |  | Value of extension Slice: Unordered, Open by type:$this
valueIdentifier |  |  | Identifier |
valueReference |  |  | Reference(ServiceRequest) |
value[x]:valueReference |  | 0..1 | Reference(ServiceRequest: Laboratory Order) | Value of extension
extension:information-recipient |  | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension
extension:diagnosticReport-reference |  | 0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x] |  | 1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Report identifier
status | ?!Σ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred)
Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject | Σ | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Who and/or what this report is about
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered).
date | Σ | 1..1 | dateTime | Composition editing time
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Laboratory Report
title | Σ | 1..1 | string | Laboratory Report
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests the report accuracy
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 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the report was attested by the party
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the report
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The laboratory service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | Period of time covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | 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
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
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: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:lab-no-subsections | C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification 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..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.
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:lab-subsections | C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification 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..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 1..* | BackboneElement | Nested Section
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification 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..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.
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 1..* | Reference(Observation Results: laboratory) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotations | C | 0..* | BackboneElement | Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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 | 1..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.extension:diagnosticReport-reference.value[x].type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` from the FHIR Standard
Composition.type | preferred | LabReportTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab` from this IG
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.category:studyType | required | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.category:specialty | required | LabSpecialtyEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab` from this IG
Composition.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:lab-no-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-no-subsections.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:lab-no-subsections.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:lab-no-subsections.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:lab-subsections.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:lab-subsections.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:lab-subsections.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:lab-subsections.section.code | preferred | LabStudyTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab` from this IG
Composition.section:lab-subsections.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:lab-subsections.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:lab-subsections.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:annotations.code | example | Pattern: LOINC Code 48767-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:annotations.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:annotations.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:annotations.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

#### Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

- ServiceRequest: Laboratory Order (http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab)
- Practitioner: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab)
- Patient: Person (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab)
- PractitionerRole: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab)
- DiagnosticReport: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab)
- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Patient: Animal (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab)
- Observation Results: laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab)

Extensions

This structure refers to these extensions:

- http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
- http://hl7.eu/fhir/StructureDefinition/information-recipient
- http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference

Slices

This structure defines the following Slices:

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

Maturity: 2

Other representations of profile: CSV, Excel, Schematron