MyHealth@Eu Medical Imaging Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Composition: Imaging

This profile defines how to constrain the Clinical document profile (Composition) to represent a Imaging Diagnostic Report for the purpose of this guide.

Usages:

• Use this Profile: Bundle: Imaging
• Refer to this Profile: DiagnosticReport: Imaging
• Examples for this Profile: Composition/ExampleCompositionImg

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport: Imaging)	Value of extension
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest: Imaging)	Value of extension
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Version-independent identifier for the Composition Obligations Actor SHALL:handle Imaging Handler
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:handle Imaging Handler
type	OΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	OΣ	1..1	Reference(Patient: Imaging Study Report)	Who and/or what the composition is about Obligations Actor SHALL:handle Imaging Handler
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle Imaging Handler
Slices for author	OΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this Obligations Actor SHALL:handle Imaging Handler
author:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
title	OΣ	1..1	string	Human Readable name/title Obligations Actor SHALL:handle Imaging Handler
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHALL:handle Imaging Handler
party	O	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Obligations Actor SHALL:handle Imaging Handler
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
custodian	Σ	0..1	Reference(Organization: Imaging)	Organization that manages the Imaging Report
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:code
event:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event:imagingstudy	Σ	1..*	BackboneElement	Modality
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: eHDSI Modality (required)
detail	Σ	1..*	Reference(ImagingStudy)	The event(s) being documented
event:procedure	Σ	1..*	BackboneElement	Study Type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
detail	Σ	0..*	Reference(Procedure)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code	O	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Obligations Actor SHALL:handle Imaging Handler
text	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
entry	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy	C	0..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(Medical Imaging Report Imaging Study)	Imaging Study Reference
section:order	C	0..1	BackboneElement	Order Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Requested imaging studies information Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging)	Order reference
section:history	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		1..1	string	Representation defined by the system Fixed Value: History general Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:procedure	C	0..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		1..1	string	Representation defined by the system Fixed Value: Current imaging procedure descriptions Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure)	A reference to data that supports this section
section:comparison	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Radiology Comparison study (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy)	A reference to data that supports this section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		1..1	string	Representation defined by the system Fixed Value: Findings
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:impression	C	0..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Radiology Imaging study [Impression] (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:careplan	C	0..*	Reference(CarePlan)	A reference to data that supports this section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.attester:resultValidator.mode	required	Pattern Value: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.event:imagingstudy.code	required	EHDSIModality http://fhir.ehdsi.eu/imaging/ValueSet/eHDSIModality From this IG
Composition.event:procedure.code	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0("Requested imaging studies information Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0("History general Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9("Current imaging procedure descriptions Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2("Radiology Comparison study (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8("Radiology Imaging study [Impression] (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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())
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
value[x]		0..1	Reference(DiagnosticReport: Imaging)	Value of extension
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
value[x]		1..1	Reference(ServiceRequest: Imaging)	Value of extension
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
identifier	O	1..1	Identifier	Version-independent identifier for the Composition Obligations Actor SHALL:handle Imaging Handler
status	O	1..1	code	preliminary | final | amended | entered-in-error Obligations Actor SHALL:handle Imaging Handler
type	O	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	O	1..1	Reference(Patient: Imaging Study Report)	Who and/or what the composition is about Obligations Actor SHALL:handle Imaging Handler
date	O	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle Imaging Handler
Slices for author	O	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this Obligations Actor SHALL:handle Imaging Handler
author:author		0..*	Reference(PractitionerRole: Imaging)	Who and/or what authored the composition
author:authoringDevice		0..*	Reference(Device)	Who and/or what authored the composition
title	O	1..1	string	Human Readable name/title Obligations Actor SHALL:handle Imaging Handler
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHALL:handle Imaging Handler
party	O	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Obligations Actor SHALL:handle Imaging Handler
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal | professional | legal | official Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal | professional | legal | official Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
custodian		0..1	Reference(Organization: Imaging)	Organization that manages the Imaging Report
Slices for event		2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:code
event:imagingstudy		1..*	BackboneElement	Modality
code		0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: eHDSI Modality (required)
detail		1..*	Reference(ImagingStudy)	The event(s) being documented
event:procedure		1..*	BackboneElement	Study Type
code		0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
detail		0..*	Reference(Procedure)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code	O	1..1	CodeableConcept	Classification of section (recommended) Obligations Actor SHALL:handle Imaging Handler
text	O	0..1	Narrative	Text summary of the section, for human interpretation Obligations Actor SHALL:handle Imaging Handler
entry	O	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason		0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy		0..1	BackboneElement	Imaging Study
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
Slices for entry		1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy		1..*	Reference(Medical Imaging Report Imaging Study)	Imaging Study Reference
section:order		0..1	BackboneElement	Order
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Requested imaging studies information Document
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order		0..*	Reference(ServiceRequest: Imaging)	Order reference
section:history		0..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		1..1	string	Representation defined by the system Fixed Value: History general Narrative - Reported
section:procedure		0..1	BackboneElement	Procedure
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		1..1	string	Representation defined by the system Fixed Value: Current imaging procedure descriptions Document
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure		0..*	Reference(Procedure)	A reference to data that supports this section
section:comparison		0..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Radiology Comparison study (narrative)
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy		0..*	Reference(ImagingStudy)	A reference to data that supports this section
section:findings		1..1	BackboneElement	Findings
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		1..1	string	Representation defined by the system Fixed Value: Findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:keyimage		0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:impression		0..1	BackboneElement	Impressions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Radiology Imaging study [Impression] (narrative)
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:impression		0..*	Reference(Condition)	A reference to data that supports this section
entry:keyimage		0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:recommendation		1..1	BackboneElement	Recommendations
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:careplan		0..*	Reference(CarePlan)	A reference to data that supports this section
section:communication		0..1	BackboneElement	Communications
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
Composition.type	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
Composition.event:imagingstudy.code	required	EHDSIModality http://fhir.ehdsi.eu/imaging/ValueSet/eHDSIModality From this IG
Composition.event:procedure.code	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
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	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport: Imaging)	Value of extension
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest: Imaging)	Value of extension
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Version-independent identifier for the Composition Obligations Actor SHALL:handle Imaging Handler
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:handle Imaging Handler
type	OΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	OΣ	1..1	Reference(Patient: Imaging Study Report)	Who and/or what the composition is about Obligations Actor SHALL:handle Imaging Handler
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle Imaging Handler
Slices for author	OΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this Obligations Actor SHALL:handle Imaging Handler
author:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
title	OΣ	1..1	string	Human Readable name/title Obligations Actor SHALL:handle Imaging Handler
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.
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHALL:handle Imaging Handler
party	O	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Obligations Actor SHALL:handle Imaging Handler
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
custodian	Σ	0..1	Reference(Organization: Imaging)	Organization that manages the Imaging Report
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)
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:code
event:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
event:imagingstudy	Σ	1..*	BackboneElement	Modality
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: eHDSI Modality (required)
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	1..*	Reference(ImagingStudy)	The event(s) being documented
event:procedure	Σ	1..*	BackboneElement	Study Type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Procedure)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code	O	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Obligations Actor SHALL:handle Imaging Handler
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:imagingstudy	C	0..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(Medical Imaging Report Imaging Study)	Imaging Study Reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:order	C	0..1	BackboneElement	Order Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Requested imaging studies information Document
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging)	Order reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:history	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		1..1	string	Representation defined by the system Fixed Value: History general Narrative - Reported
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:procedure	C	0..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		1..1	string	Representation defined by the system Fixed Value: Current imaging procedure descriptions Document
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:comparison	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Radiology Comparison study (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		1..1	string	Representation defined by the system Fixed Value: Findings
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:impression	C	0..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Radiology Imaging study [Impression] (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:careplan	C	0..*	Reference(CarePlan)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes From the FHIR Standard
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.attester:legalAuthenticator.mode	required	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.attester:resultValidator.mode	required	Pattern Value: professional 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.event:imagingstudy.code	required	EHDSIModality http://fhir.ehdsi.eu/imaging/ValueSet/eHDSIModality From this IG
Composition.event:procedure.code	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.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	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:imagingstudy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:imagingstudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:imagingstudy.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0("Requested imaging studies information Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:order.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:order.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0("History general Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:history.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9("Current imaging procedure descriptions Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:procedure.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:procedure.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2("Radiology Comparison study (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:comparison.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:comparison.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:findings.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:findings.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8("Radiology Imaging study [Impression] (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:impression.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:recommendation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:recommendation.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:communication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:communication.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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())
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 9 elements(4 nested mandatory elements)

Structures

This structure refers to these other structures:

• DiagnosticReport: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/diagnosticReport-img-myhealtheu)
• ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
• Patient: Imaging Study Report (http://fhir.ehdsi.eu/imaging/StructureDefinition/patient-img-myhealtheu)
• PractitionerRole: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/practitionerRole-img-myhealtheu)
• Organization: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/Organization-img-myhealtheu)
• Medical Imaging Report Imaging Study (http://fhir.ehdsi.eu/imaging/StructureDefinition/imagingStudy-img-myhealtheu)
• Observation Results: IDR (http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu)
• Imaging Key Image Document Reference (http://fhir.ehdsi.eu/imaging/StructureDefinition/keyImageDocumentReference-img-myhealtheu)

Extensions

This structure refers to these extensions:

• http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
• http://hl7.org/fhir/StructureDefinition/event-basedOn|5.2.0
• http://hl7.eu/fhir/StructureDefinition/information-recipient
• http://hl7.org/fhir/StructureDefinition/note|5.2.0

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport: Imaging)	Value of extension
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest: Imaging)	Value of extension
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Version-independent identifier for the Composition Obligations Actor SHALL:handle Imaging Handler
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:handle Imaging Handler
type	OΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	OΣ	1..1	Reference(Patient: Imaging Study Report)	Who and/or what the composition is about Obligations Actor SHALL:handle Imaging Handler
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle Imaging Handler
Slices for author	OΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this Obligations Actor SHALL:handle Imaging Handler
author:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
title	OΣ	1..1	string	Human Readable name/title Obligations Actor SHALL:handle Imaging Handler
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHALL:handle Imaging Handler
party	O	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Obligations Actor SHALL:handle Imaging Handler
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
custodian	Σ	0..1	Reference(Organization: Imaging)	Organization that manages the Imaging Report
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:code
event:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event:imagingstudy	Σ	1..*	BackboneElement	Modality
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: eHDSI Modality (required)
detail	Σ	1..*	Reference(ImagingStudy)	The event(s) being documented
event:procedure	Σ	1..*	BackboneElement	Study Type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
detail	Σ	0..*	Reference(Procedure)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code	O	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Obligations Actor SHALL:handle Imaging Handler
text	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
entry	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy	C	0..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(Medical Imaging Report Imaging Study)	Imaging Study Reference
section:order	C	0..1	BackboneElement	Order Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Requested imaging studies information Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging)	Order reference
section:history	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		1..1	string	Representation defined by the system Fixed Value: History general Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:procedure	C	0..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		1..1	string	Representation defined by the system Fixed Value: Current imaging procedure descriptions Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure)	A reference to data that supports this section
section:comparison	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Radiology Comparison study (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy)	A reference to data that supports this section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		1..1	string	Representation defined by the system Fixed Value: Findings
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:impression	C	0..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Radiology Imaging study [Impression] (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:careplan	C	0..*	Reference(CarePlan)	A reference to data that supports this section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.attester:resultValidator.mode	required	Pattern Value: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.event:imagingstudy.code	required	EHDSIModality http://fhir.ehdsi.eu/imaging/ValueSet/eHDSIModality From this IG
Composition.event:procedure.code	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0("Requested imaging studies information Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0("History general Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9("Current imaging procedure descriptions Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2("Radiology Comparison study (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8("Radiology Imaging study [Impression] (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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())
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
value[x]		0..1	Reference(DiagnosticReport: Imaging)	Value of extension
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
value[x]		1..1	Reference(ServiceRequest: Imaging)	Value of extension
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
identifier	O	1..1	Identifier	Version-independent identifier for the Composition Obligations Actor SHALL:handle Imaging Handler
status	O	1..1	code	preliminary | final | amended | entered-in-error Obligations Actor SHALL:handle Imaging Handler
type	O	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	O	1..1	Reference(Patient: Imaging Study Report)	Who and/or what the composition is about Obligations Actor SHALL:handle Imaging Handler
date	O	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle Imaging Handler
Slices for author	O	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this Obligations Actor SHALL:handle Imaging Handler
author:author		0..*	Reference(PractitionerRole: Imaging)	Who and/or what authored the composition
author:authoringDevice		0..*	Reference(Device)	Who and/or what authored the composition
title	O	1..1	string	Human Readable name/title Obligations Actor SHALL:handle Imaging Handler
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHALL:handle Imaging Handler
party	O	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Obligations Actor SHALL:handle Imaging Handler
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal | professional | legal | official Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal | professional | legal | official Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
custodian		0..1	Reference(Organization: Imaging)	Organization that manages the Imaging Report
Slices for event		2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:code
event:imagingstudy		1..*	BackboneElement	Modality
code		0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: eHDSI Modality (required)
detail		1..*	Reference(ImagingStudy)	The event(s) being documented
event:procedure		1..*	BackboneElement	Study Type
code		0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
detail		0..*	Reference(Procedure)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code	O	1..1	CodeableConcept	Classification of section (recommended) Obligations Actor SHALL:handle Imaging Handler
text	O	0..1	Narrative	Text summary of the section, for human interpretation Obligations Actor SHALL:handle Imaging Handler
entry	O	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason		0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section:imagingstudy		0..1	BackboneElement	Imaging Study
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
Slices for entry		1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy		1..*	Reference(Medical Imaging Report Imaging Study)	Imaging Study Reference
section:order		0..1	BackboneElement	Order
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Requested imaging studies information Document
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order		0..*	Reference(ServiceRequest: Imaging)	Order reference
section:history		0..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		1..1	string	Representation defined by the system Fixed Value: History general Narrative - Reported
section:procedure		0..1	BackboneElement	Procedure
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		1..1	string	Representation defined by the system Fixed Value: Current imaging procedure descriptions Document
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure		0..*	Reference(Procedure)	A reference to data that supports this section
section:comparison		0..1	BackboneElement	History
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Radiology Comparison study (narrative)
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy		0..*	Reference(ImagingStudy)	A reference to data that supports this section
section:findings		1..1	BackboneElement	Findings
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		1..1	string	Representation defined by the system Fixed Value: Findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:keyimage		0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:impression		0..1	BackboneElement	Impressions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Radiology Imaging study [Impression] (narrative)
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding		0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:impression		0..*	Reference(Condition)	A reference to data that supports this section
entry:keyimage		0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
section:recommendation		1..1	BackboneElement	Recommendations
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:careplan		0..*	Reference(CarePlan)	A reference to data that supports this section
section:communication		0..1	BackboneElement	Communications
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
Composition.type	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
Composition.event:imagingstudy.code	required	EHDSIModality http://fhir.ehdsi.eu/imaging/ValueSet/eHDSIModality From this IG
Composition.event:procedure.code	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
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	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosticreport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport: Imaging)	Value of extension
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest: Imaging)	Value of extension
extension:informationRecipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Version-independent identifier for the Composition Obligations Actor SHALL:handle Imaging Handler
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:handle Imaging Handler
type	OΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	OΣ	1..1	Reference(Patient: Imaging Study Report)	Who and/or what the composition is about Obligations Actor SHALL:handle Imaging Handler
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle Imaging Handler
Slices for author	OΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition Slice: Unordered, Open by profile:$this Obligations Actor SHALL:handle Imaging Handler
author:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Who and/or what authored the composition
author:authoringDevice	Σ	0..*	Reference(Device)	Who and/or what authored the composition
title	OΣ	1..1	string	Human Readable name/title Obligations Actor SHALL:handle Imaging Handler
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.
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHALL:handle Imaging Handler
party	O	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Obligations Actor SHALL:handle Imaging Handler
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
attester:resultValidator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		0..1	Reference(PractitionerRole: Imaging)	Who attested the composition
custodian	Σ	0..1	Reference(Organization: Imaging)	Organization that manages the Imaging Report
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)
Slices for event	Σ	2..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:code
event:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
event:imagingstudy	Σ	1..*	BackboneElement	Modality
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: eHDSI Modality (required)
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	1..*	Reference(ImagingStudy)	The event(s) being documented
event:procedure	Σ	1..*	BackboneElement	Study Type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: https://www.hl7.org/fhir/valueset-procedure-reason.html (extensible)
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Procedure)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, eu-imaging-composition-1
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code	O	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Obligations Actor SHALL:handle Imaging Handler
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:imagingstudy	C	0..1	BackboneElement	Imaging Study Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:imagingstudy	C	1..*	Reference(Medical Imaging Report Imaging Study)	Imaging Study Reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:order	C	0..1	BackboneElement	Order Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55115-0
display		1..1	string	Representation defined by the system Fixed Value: Requested imaging studies information Document
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:order	C	0..*	Reference(ServiceRequest: Imaging)	Order reference
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:history	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		1..1	string	Representation defined by the system Fixed Value: History general Narrative - Reported
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:procedure	C	0..1	BackboneElement	Procedure Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55111-9
display		1..1	string	Representation defined by the system Fixed Value: Current imaging procedure descriptions Document
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:procedure	C	0..*	Reference(Procedure)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:comparison	C	0..1	BackboneElement	History Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18834-2
display		1..1	string	Representation defined by the system Fixed Value: Radiology Comparison study (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:comparedstudy	C	0..*	Reference(ImagingStudy)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:findings	C	1..1	BackboneElement	Findings Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59776-5
display		1..1	string	Representation defined by the system Fixed Value: Findings
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:impression	C	0..1	BackboneElement	Impressions Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display		1..1	string	Representation defined by the system Fixed Value: Radiology Imaging study [Impression] (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:finding	C	0..*	Reference(Observation Results: IDR)	A reference to data that supports this section
entry:impression	C	0..*	Reference(Condition)	A reference to data that supports this section
entry:keyimage	C	0..*	Reference(Imaging Key Image Document Reference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:recommendation	C	1..1	BackboneElement	Recommendations Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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.
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this
entry:careplan	C	0..*	Reference(CarePlan)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
section:communication	C	0..1	BackboneElement	Communications Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor SHALL:handle Imaging Handler
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display		1..1	string	Representation defined by the system Fixed Value: Radiology Study recommendation (narrative)
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	OC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle Imaging Handler
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	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Reasons a section in an imaging report is empty. (preferred)
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes From the FHIR Standard
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.attester:legalAuthenticator.mode	required	Pattern Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.attester:resultValidator.mode	required	Pattern Value: professional 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.event:imagingstudy.code	required	EHDSIModality http://fhir.ehdsi.eu/imaging/ValueSet/eHDSIModality From this IG
Composition.event:procedure.code	extensible	https://www.hl7.org/fhir/valueset-procedure-reason.html https://www.hl7.org/fhir/valueset-procedure-reason.html
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.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	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:imagingstudy.code	example	Pattern Value: LOINC Code 18726-0 http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:imagingstudy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:imagingstudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:imagingstudy.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:order.code	example	Pattern Value: LOINC Code 55115-0("Requested imaging studies information Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:order.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:order.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:order.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:history.code	example	Pattern Value: LOINC Code 11329-0("History general Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:history.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:history.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:history.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:procedure.code	example	Pattern Value: LOINC Code 55111-9("Current imaging procedure descriptions Document") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:procedure.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:procedure.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:procedure.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:comparison.code	example	Pattern Value: LOINC Code 18834-2("Radiology Comparison study (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:comparison.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:comparison.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:comparison.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:findings.code	example	Pattern Value: LOINC Code 59776-5("Findings") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:findings.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:findings.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:findings.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:impression.code	example	Pattern Value: LOINC Code 19005-8("Radiology Imaging study [Impression] (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:impression.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:impression.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:recommendation.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:recommendation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:recommendation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:recommendation.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG
Composition.section:communication.code	example	Pattern Value: LOINC Code 18783-1("Radiology Study recommendation (narrative)") http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:communication.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:communication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:communication.emptyReason	preferred	SectionEmptyReason http://fhir.ehdsi.eu/imaging/ValueSet/SectionEmptyReason From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:imagingstudy, Composition.section:order, Composition.section:history, Composition.section:procedure, Composition.section:comparison, Composition.section:findings, Composition.section:impression, Composition.section:recommendation, Composition.section:communication	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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())
eu-imaging-composition-1	error	Composition.section	When a section is empty, the emptyReason extension SHALL be present. : entry.empty() and emptyReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 9 elements(4 nested mandatory elements)

Structures

This structure refers to these other structures:

• DiagnosticReport: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/diagnosticReport-img-myhealtheu)
• ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
• Patient: Imaging Study Report (http://fhir.ehdsi.eu/imaging/StructureDefinition/patient-img-myhealtheu)
• PractitionerRole: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/practitionerRole-img-myhealtheu)
• Organization: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/Organization-img-myhealtheu)
• Medical Imaging Report Imaging Study (http://fhir.ehdsi.eu/imaging/StructureDefinition/imagingStudy-img-myhealtheu)
• Observation Results: IDR (http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu)
• Imaging Key Image Document Reference (http://fhir.ehdsi.eu/imaging/StructureDefinition/keyImageDocumentReference-img-myhealtheu)

Extensions

This structure refers to these extensions:

• http://fhir.ehdsi.eu/imaging/StructureDefinition/im-composition-diagnosticReportReference
• http://hl7.org/fhir/StructureDefinition/event-basedOn|5.2.0
• http://hl7.eu/fhir/StructureDefinition/information-recipient
• http://hl7.org/fhir/StructureDefinition/note|5.2.0

Slices

This structure defines the following Slices:

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