MyHealth@Eu Laboratory Report
            
            0.1.1 - trial-use
  150
            
          
MyHealth@Eu Laboratory Report - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.ehdsi.eu/laboratory/StructureDefinition/Composition-lab-myhealtheu | Version: 0.1.1 | |||
| Active as of 2025-06-06 | Computable Name: CompositionLabReportMyHealthEu | |||
This profile defines how to constrain the Clinical document profile (Composition) to represent a Laboratory Report for the purpose of this guide.
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CompositionLabReportEu | Laboratory Report composition | |||||||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
![]() ![]()  | 
O | 0..1 | code | Language of the resource content Binding: eHDSI Language (required) 
  | ||||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||||
![]() ![]() ![]()  | 
O | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber 
  | ||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(ServiceRequest: Laboratory) | Value of extension | |||||||||
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O | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
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1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||
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0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference  | |||||||||
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0..0 | |||||||||||
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1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||||||
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1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
![]() ![]()  | 
OΣ | 0..1 | Identifier | Report identifier
  | ||||||||
![]() ![]()  | 
?!OΣ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. 
  | ||||||||
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OΣ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) 
  | ||||||||
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Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.  | ||||||||
![]() ![]() ![]()  | 
OΣ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) 
  | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | Reference(Patient: Laboratory) | Who and/or what this report is about
  | ||||||||
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OΣ | 1..1 | dateTime | Composition editing time
  | ||||||||
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OΣ | 1..* | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) | Who and/or what authored the Laboratory Report
  | ||||||||
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OΣ | 1..1 | string | Laboratory Report
  | ||||||||
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C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2  | ||||||||
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Content/Rules for all slices | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.  | |||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 1..* | BackboneElement | Nested Section | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (complex)  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||||||
  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Composition.language | required | EHDSILanguagehttp://terminology.ehdsi.eu/ValueSet/eHDSILanguageFrom this IG  | |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard  | |
| Composition.type | required | EHDSILaboratoryReportTypeshttp://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypesFrom this IG  | |
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesFrom the FHIR Standard  | |
| Composition.category:studyType | required | EHDSILabStudyTypehttp://terminology.ehdsi.eu/ValueSet/eHDSILabStudyTypeFrom this IG  | |
| Composition.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | |
| Composition.section:lab-no-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.section.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:annotations.code | example | Pattern Value: LOINC Code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | 
| Id | Grade | Path(s) | Details | Requirements | 
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()  | |
| cmp-2 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()  | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()  | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()  | |
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()  | |
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()  | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists()  | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())  | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists()  | 
This structure is derived from CompositionLabReportEu
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CompositionLabReportEu | Laboratory Report composition | |||||||
![]() ![]()  | 
O | 0..1 | code | Language of the resource content Binding: eHDSI Language (required) 
  | ||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]()  | 
O | 0..* | CDVersionNumber(5.2.0) | Version-specific identifier for composition
  | ||||||
![]() ![]() ![]()  | 
O | 0..* | CompositionBasedOnOrderOrRequisition | Composition: Based On Order
  | ||||||
![]() ![]() ![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(ServiceRequest: Laboratory) | Value of extension | |||||||
![]() ![]() ![]()  | 
O | 0..* | InformationRecipient | Composition: Information recipient
  | ||||||
![]() ![]()  | 
O | 0..1 | Identifier | Report identifier
  | ||||||
![]() ![]()  | 
O | 1..1 | code | Status of the Report
  | ||||||
![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) 
  | ||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]()  | 
O | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) 
  | ||||||
![]() ![]()  | 
O | 1..1 | Reference(Patient: Laboratory) | Who and/or what this report is about
  | ||||||
![]() ![]()  | 
O | 1..1 | dateTime | Composition editing time
  | ||||||
![]() ![]()  | 
O | 1..* | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) | Who and/or what authored the Laboratory Report
  | ||||||
![]() ![]()  | 
O | 1..1 | string | Laboratory Report
  | ||||||
![]() ![]()  | 
||||||||||
![]() ![]() ![]()  | 
O | 0..1 | dateTime | When the report was attested by the party
  | ||||||
![]() ![]() ![]()  | 
O | 0..1 | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization) | Who attested the report
  | ||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]()  | 
0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections | |||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||
![]() ![]() ![]()  | 
0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item | |||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||
![]() ![]() ![]() ![]()  | 
||||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||
  Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI | 
| Composition.language | required | EHDSILanguagehttp://terminology.ehdsi.eu/ValueSet/eHDSILanguageFrom this IG  | |
| Composition.type | required | EHDSILaboratoryReportTypeshttp://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypesFrom this IG  | |
| Composition.category:studyType | required | EHDSILabStudyTypehttp://terminology.ehdsi.eu/ValueSet/eHDSILabStudyTypeFrom this IG  | |
| Composition.section:lab-no-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.section.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | 
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CompositionLabReportEu | Laboratory Report composition | |||||||||
![]() ![]()  | 
Σ | 0..1 | id | Logical id of this artifact | ||||||||
![]() ![]()  | 
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
![]() ![]()  | 
O | 0..1 | code | Language of the resource content Binding: eHDSI Language (required) 
  | ||||||||
![]() ![]()  | 
0..1 | Narrative | Narrative text | |||||||||
![]() ![]()  | 
0..* | Resource | Contained, inline Resources | |||||||||
![]() ![]()  | 
0..* | Extension | Extension Slice: Unordered, Open by value:url  | |||||||||
![]() ![]() ![]()  | 
O | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber 
  | ||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(ServiceRequest: Laboratory) | Value of extension | |||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension | |||||||||
![]() ![]() ![]()  | 
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
Σ | 0..1 | string | Text alternative for the resource | ||||||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
![]() ![]()  | 
OΣ | 0..1 | Identifier | Report identifier
  | ||||||||
![]() ![]()  | 
?!OΣ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. 
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) 
  | ||||||||
![]() ![]()  | 
Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.  | ||||||||
![]() ![]() ![]()  | 
OΣ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) 
  | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | Reference(Patient: Laboratory) | Who and/or what this report is about
  | ||||||||
![]() ![]()  | 
Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | ||||||||
![]() ![]()  | 
OΣ | 1..1 | dateTime | Composition editing time
  | ||||||||
![]() ![]()  | 
OΣ | 1..* | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) | Who and/or what authored the Laboratory Report
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | string | Laboratory Report
  | ||||||||
![]() ![]()  | 
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.  | ||||||||
![]() ![]()  | 
0..* | BackboneElement | Attests the report accuracy | |||||||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]()  | 
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.  | |||||||||
![]() ![]() ![]()  | 
O | 0..1 | dateTime | When the report was attested by the party
  | ||||||||
![]() ![]() ![]()  | 
O | 0..1 | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization) | Who attested the report
  | ||||||||
![]() ![]()  | 
Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||||||
![]() ![]()  | 
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]()  | 
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.  | |||||||||
![]() ![]() ![]()  | 
1..1 | Target of the relationship | ||||||||||
![]() ![]() ![]() ![]()  | 
Identifier | |||||||||||
![]() ![]() ![]() ![]()  | 
Reference(Composition) | |||||||||||
![]() ![]()  | 
Σ | 0..* | BackboneElement | The laboratory service(s) being documented | ||||||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.  | ||||||||
![]() ![]() ![]()  | 
Σ | 0..1 | Period | Period of time covered by the documentation | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented | ||||||||
![]() ![]()  | 
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]()  | 
Content/Rules for all slices | |||||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 0..* | See section (Composition) | Nested Section | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 1..* | BackboneElement | Nested Section | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (complex)  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Version of the system - if relevant | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Representation defined by the system | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Plain text representation of the concept | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
C | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Composition.language | required | EHDSILanguagehttp://terminology.ehdsi.eu/ValueSet/eHDSILanguageFrom this IG  | |
| Composition.extension:diagnosticReport-reference.value[x].type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard  | |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard  | |
| Composition.type | required | EHDSILaboratoryReportTypeshttp://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypesFrom this IG  | |
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesFrom the FHIR Standard  | |
| Composition.category:studyType | required | EHDSILabStudyTypehttp://terminology.ehdsi.eu/ValueSet/eHDSILabStudyTypeFrom this IG  | |
| Composition.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26From the FHIR Standard  | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1From the FHIR Standard  | |
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1From the FHIR Standard  | |
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | |
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:lab-no-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-no-subsections.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:lab-no-subsections.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:lab-no-subsections.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:lab-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:lab-subsections.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:lab-subsections.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:lab-subsections.section.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:lab-subsections.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:lab-subsections.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:annotations.code | example | Pattern Value: LOINC Code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | |
| Composition.section:annotations.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:annotations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:annotations.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | 
| Id | Grade | Path(s) | Details | Requirements | 
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()  | |
| cmp-2 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()  | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()  | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()  | |
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()  | |
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()  | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists()  | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())  | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists()  | 
This structure is derived from CompositionLabReportEu
Summary
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CompositionLabReportEu | Laboratory Report composition | |||||||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
![]() ![]()  | 
O | 0..1 | code | Language of the resource content Binding: eHDSI Language (required) 
  | ||||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||||
![]() ![]() ![]()  | 
O | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber 
  | ||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(ServiceRequest: Laboratory) | Value of extension | |||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||
![]() ![]() ![]()  | 
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference  | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
![]() ![]()  | 
OΣ | 0..1 | Identifier | Report identifier
  | ||||||||
![]() ![]()  | 
?!OΣ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. 
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) 
  | ||||||||
![]() ![]()  | 
Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.  | ||||||||
![]() ![]() ![]()  | 
OΣ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) 
  | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | Reference(Patient: Laboratory) | Who and/or what this report is about
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | dateTime | Composition editing time
  | ||||||||
![]() ![]()  | 
OΣ | 1..* | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) | Who and/or what authored the Laboratory Report
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | string | Laboratory Report
  | ||||||||
![]() ![]()  | 
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]()  | 
Content/Rules for all slices | |||||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.  | |||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 1..* | BackboneElement | Nested Section | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (complex)  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org  | |||||||||
![]() ![]() ![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||||||
  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Composition.language | required | EHDSILanguagehttp://terminology.ehdsi.eu/ValueSet/eHDSILanguageFrom this IG  | |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard  | |
| Composition.type | required | EHDSILaboratoryReportTypeshttp://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypesFrom this IG  | |
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesFrom the FHIR Standard  | |
| Composition.category:studyType | required | EHDSILabStudyTypehttp://terminology.ehdsi.eu/ValueSet/eHDSILabStudyTypeFrom this IG  | |
| Composition.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | |
| Composition.section:lab-no-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.section.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:annotations.code | example | Pattern Value: LOINC Code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | 
| Id | Grade | Path(s) | Details | Requirements | 
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()  | |
| cmp-2 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()  | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()  | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()  | |
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()  | |
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()  | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists()  | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())  | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists()  | 
Differential View
This structure is derived from CompositionLabReportEu
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CompositionLabReportEu | Laboratory Report composition | |||||||
![]() ![]()  | 
O | 0..1 | code | Language of the resource content Binding: eHDSI Language (required) 
  | ||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]()  | 
O | 0..* | CDVersionNumber(5.2.0) | Version-specific identifier for composition
  | ||||||
![]() ![]() ![]()  | 
O | 0..* | CompositionBasedOnOrderOrRequisition | Composition: Based On Order
  | ||||||
![]() ![]() ![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(ServiceRequest: Laboratory) | Value of extension | |||||||
![]() ![]() ![]()  | 
O | 0..* | InformationRecipient | Composition: Information recipient
  | ||||||
![]() ![]()  | 
O | 0..1 | Identifier | Report identifier
  | ||||||
![]() ![]()  | 
O | 1..1 | code | Status of the Report
  | ||||||
![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) 
  | ||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]()  | 
O | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) 
  | ||||||
![]() ![]()  | 
O | 1..1 | Reference(Patient: Laboratory) | Who and/or what this report is about
  | ||||||
![]() ![]()  | 
O | 1..1 | dateTime | Composition editing time
  | ||||||
![]() ![]()  | 
O | 1..* | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) | Who and/or what authored the Laboratory Report
  | ||||||
![]() ![]()  | 
O | 1..1 | string | Laboratory Report
  | ||||||
![]() ![]()  | 
||||||||||
![]() ![]() ![]()  | 
O | 0..1 | dateTime | When the report was attested by the party
  | ||||||
![]() ![]() ![]()  | 
O | 0..1 | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization) | Who attested the report
  | ||||||
![]() ![]()  | 
Content/Rules for all slices | |||||||||
![]() ![]() ![]()  | 
0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections | |||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||
![]() ![]() ![]()  | 
0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item | |||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||
![]() ![]() ![]() ![]()  | 
||||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||
  Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI | 
| Composition.language | required | EHDSILanguagehttp://terminology.ehdsi.eu/ValueSet/eHDSILanguageFrom this IG  | |
| Composition.type | required | EHDSILaboratoryReportTypeshttp://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypesFrom this IG  | |
| Composition.category:studyType | required | EHDSILabStudyTypehttp://terminology.ehdsi.eu/ValueSet/eHDSILabStudyTypeFrom this IG  | |
| Composition.section:lab-no-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.section.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CompositionLabReportEu | Laboratory Report composition | |||||||||
![]() ![]()  | 
Σ | 0..1 | id | Logical id of this artifact | ||||||||
![]() ![]()  | 
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
![]() ![]()  | 
O | 0..1 | code | Language of the resource content Binding: eHDSI Language (required) 
  | ||||||||
![]() ![]()  | 
0..1 | Narrative | Narrative text | |||||||||
![]() ![]()  | 
0..* | Resource | Contained, inline Resources | |||||||||
![]() ![]()  | 
0..* | Extension | Extension Slice: Unordered, Open by value:url  | |||||||||
![]() ![]() ![]()  | 
O | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber 
  | ||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition" | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(ServiceRequest: Laboratory) | Value of extension | |||||||||
![]() ![]() ![]()  | 
O | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization) | Value of extension | |||||||||
![]() ![]() ![]()  | 
0..1 | (Complex) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..0 | |||||||||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference" | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | Reference(DiagnosticReport: Laboratory Report) | Value of extension | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
Σ | 0..1 | string | Text alternative for the resource | ||||||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
![]() ![]()  | 
OΣ | 0..1 | Identifier | Report identifier
  | ||||||||
![]() ![]()  | 
?!OΣ | 1..1 | code | Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. 
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | CodeableConceptIPS | Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) 
  | ||||||||
![]() ![]()  | 
Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.  | ||||||||
![]() ![]() ![]()  | 
OΣ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) 
  | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | Reference(Patient: Laboratory) | Who and/or what this report is about
  | ||||||||
![]() ![]()  | 
Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | ||||||||
![]() ![]()  | 
OΣ | 1..1 | dateTime | Composition editing time
  | ||||||||
![]() ![]()  | 
OΣ | 1..* | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) | Who and/or what authored the Laboratory Report
  | ||||||||
![]() ![]()  | 
OΣ | 1..1 | string | Laboratory Report
  | ||||||||
![]() ![]()  | 
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.  | ||||||||
![]() ![]()  | 
0..* | BackboneElement | Attests the report accuracy | |||||||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]()  | 
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.  | |||||||||
![]() ![]() ![]()  | 
O | 0..1 | dateTime | When the report was attested by the party
  | ||||||||
![]() ![]() ![]()  | 
O | 0..1 | Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization) | Who attested the report
  | ||||||||
![]() ![]()  | 
Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||||||
![]() ![]()  | 
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]()  | 
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.  | |||||||||
![]() ![]() ![]()  | 
1..1 | Target of the relationship | ||||||||||
![]() ![]() ![]() ![]()  | 
Identifier | |||||||||||
![]() ![]() ![]() ![]()  | 
Reference(Composition) | |||||||||||
![]() ![]()  | 
Σ | 0..* | BackboneElement | The laboratory service(s) being documented | ||||||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.  | ||||||||
![]() ![]() ![]()  | 
Σ | 0..1 | Period | Period of time covered by the documentation | ||||||||
![]() ![]() ![]()  | 
Σ | 0..* | Reference(Resource) | The laboratory service(s) being documented | ||||||||
![]() ![]()  | 
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]()  | 
Content/Rules for all slices | |||||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
![]() ![]() ![]() ![]()  | 
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 0..* | See section (Composition) | Nested Section | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 1: EU Laboratory Report section with entries and no sub-sections Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]() ![]()  | 
C | 1..* | BackboneElement | Nested Section | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | string | Label for section (e.g. for ToC)
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) 
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 0..1 | Narrative | Text summary of the section, for human interpretation.
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
![]() ![]() ![]() ![]() ![]()  | 
OC | 1..* | Reference(Observation Results: Laboratory) | A reference to data that supports this section
  | ||||||||
![]() ![]() ![]() ![]() ![]()  | 
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
![]() ![]() ![]()  | 
C | 0..* | BackboneElement | Annotation comment Constraints: cmp-1, cmp-2  | ||||||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
![]() ![]() ![]() ![]()  | 
1..1 | string | Label for section (e.g. for ToC) | |||||||||
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1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following  | |||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex)  | |||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org  | |||||||||
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0..1 | string | Version of the system - if relevant | |||||||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8  | |||||||||
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0..1 | string | Representation defined by the system | |||||||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||||||
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0..1 | string | Plain text representation of the concept | |||||||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
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C | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.  | |||||||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.  | |||||||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.  | ||||||||
  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Composition.language | required | EHDSILanguagehttp://terminology.ehdsi.eu/ValueSet/eHDSILanguageFrom this IG  | |
| Composition.extension:diagnosticReport-reference.value[x].type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard  | |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard  | |
| Composition.type | required | EHDSILaboratoryReportTypeshttp://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypesFrom this IG  | |
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesFrom the FHIR Standard  | |
| Composition.category:studyType | required | EHDSILabStudyTypehttp://terminology.ehdsi.eu/ValueSet/eHDSILabStudyTypeFrom this IG  | |
| Composition.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26From the FHIR Standard  | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1From the FHIR Standard  | |
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1From the FHIR Standard  | |
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | |
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:lab-no-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-no-subsections.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:lab-no-subsections.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:lab-no-subsections.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:lab-subsections.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:lab-subsections.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:lab-subsections.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:lab-subsections.section.code | required | EHDSILabStudyTypeWithExceptionshttp://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptionsFrom this IG  | |
| Composition.section:lab-subsections.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:lab-subsections.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:lab-subsections.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | |
| Composition.section:annotations.code | example | Pattern Value: LOINC Code 48767-8http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard  | |
| Composition.section:annotations.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard  | |
| Composition.section:annotations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard  | |
| Composition.section:annotations.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard  | 
| Id | Grade | Path(s) | Details | Requirements | 
| cmp-1 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()  | |
| cmp-2 | error | Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()  | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()  | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()  | |
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()  | |
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()  | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists()  | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())  | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists()  | 
This structure is derived from CompositionLabReportEu
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron