MyHealth@Eu Laboratory Report - Local Development build (v9.1.1-ci-build) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Composition: Laboratory

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

Usages:

• Use this Profile: Bundle: Laboratory
• Refer to this Profile: DiagnosticReport: Laboratory
• Examples for this Profile: Composition/SampleComposition

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionMyHealthCore	A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the composition content Binding: eHDSI Language (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
text		0..1	Narrative	Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension				Content/Rules for all slices
extension:version	O	0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 Obligations Actor SHOULD:handle MyHealth@EU Handler
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
Slices for value[x]		1..1	Reference(DiagnosticReport)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference()	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Report identifier Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
type	OΣ	1..1	CodeableConcept	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for category	Σ	0..*	CodeableConcept	Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	Document Category Binding: eHDSI Laboratory Study Types (required)
subject	OΣ	1..1	Reference(Patient (Core))	Who and/or what this report is about Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
author	OΣ	1..*	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device)	Who and/or what authored the composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
title	OΣ	1..1	string	Laboratory Report Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
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 SHOULD:handle MyHealth@EU Handler
party	O	0..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition Obligations Actor SHOULD:handle MyHealth@EU Handler
attester:legalAuthenticator	O	0..*	BackboneElement	Attests to accuracy of composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
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		1..1	Reference(PractitionerRole (Core) | Practitioner (Core))	Who attested the composition
attester:validator		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		1..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition
custodian	OΣ	0..1	Reference(Organization (Core))	Organization which maintains the composition Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible)
text	C	1..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
entry	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section	C	0..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..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
section:attachment	C	0..*	BackboneElement	Additional data (like images, diagrams) associated with this report Constraints: cmp-1, cmp-2
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) 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: 77599-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..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
entry	C	1..*	Reference(Binary | DocumentReference)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	eHDSI Language	📦9.1.0	This IG
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	eHDSI Laboratory Study Types	📦9.1.0	This IG
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:annotations.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:attachment.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations, Composition.section:attachment	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:annotations, Composition.section:attachment	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	Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section.section.modifierExtension, Composition.section:annotations.extension:section-note, Composition.section:annotations.modifierExtension, Composition.section:annotations.section.modifierExtension, Composition.section:attachment.extension:section-note, Composition.section:attachment.modifierExtension, Composition.section:attachment.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CompositionMyHealthCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition			CompositionMyHealthCore	This profile also imposes the profile Composition: Laboratory Report
language	O	0..1	code	Language of the composition content Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
text		0..1	Narrative	Narrative text
Slices for extension				Content/Rules for all slices
extension:version	O	0..1	R5 Composition.version	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) Obligations Actor SHOULD:handle MyHealth@EU Handler
extension:diagnosticReport		0..1	DiagnosticReportReference	Document DiagnosticReport Reference
extension		0..0		Extension
Slices for value[x]		1..1	Reference(DiagnosticReport)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference		1..1	Reference()	Value of extension
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier	O	1..1	Identifier	Report identifier Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
type	O	1..1	CodeableConcept	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for category				Content/Rules for all slices
category:studyType		0..*	CodeableConcept	Document Category Binding: eHDSI Laboratory Study Types (required)
subject	O	1..1	Reference(Patient (Core))	Who and/or what this report is about Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
date	O	1..1	dateTime	Composition editing time Obligations Actor Source SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
author	O	1..*	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device)	Who and/or what authored the composition Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
title	O	1..1	string	Laboratory Report Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
attester		0..*	BackboneElement	Attests to accuracy of composition
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHOULD:handle MyHealth@EU Handler
party	O	0..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition Obligations Actor SHOULD:handle MyHealth@EU Handler
custodian	O	0..1	Reference(Organization (Core))	Organization which maintains the composition Obligations Actor Source SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
entry	O	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section		0..*	BackboneElement	Nested Section
entry	O	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section:annotations		0..*	BackboneElement	Annotation comment
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: 48767-8
entry		0..0		A reference to data that supports this section
section		0..0		Nested Section
section:attachment		0..*	BackboneElement	Additional data (like images, diagrams) associated with this report
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: 77599-9
entry		1..*	Reference(Binary | DocumentReference)	A reference to data that supports this section
section		0..0		Nested Section
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
Composition.category:studyType	Base	required	eHDSI Laboratory Study Types	📦9.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionMyHealthCore	A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition: Laboratory Report
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	0..1	code	Language of the composition content Binding: eHDSI Language (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
text		0..1	Narrative	Narrative text 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:version	O	0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 Obligations Actor SHOULD:handle MyHealth@EU Handler
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x]		0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson)	Value of extension
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
Slices for value[x]		1..1	Reference(DiagnosticReport)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference()	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Report identifier Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
type	OΣ	1..1	CodeableConcept	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for category	Σ	0..*	CodeableConcept	Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	Document Category Binding: eHDSI Laboratory Study Types (required)
subject	OΣ	1..1	Reference(Patient (Core))	Who and/or what this report is about Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
author	OΣ	1..*	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device)	Who and/or what authored the composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
title	OΣ	1..1	string	Laboratory Report Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
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 SHOULD:handle MyHealth@EU Handler
party	O	0..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition Obligations Actor SHOULD:handle MyHealth@EU Handler
attester:legalAuthenticator	O	0..*	BackboneElement	Attests to accuracy of composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
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		1..1	Reference(PractitionerRole (Core) | Practitioner (Core))	Who attested the composition
attester:validator		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		1..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition
custodian	OΣ	0..1	Reference(Organization (Core))	Organization which maintains the composition Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Event period
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 MyHealth@EU Handler
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 MyHealth@EU Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:annotations	C	0..*	BackboneElement	Annotation comment 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:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:attachment	C	0..*	BackboneElement	Additional data (like images, diagrams) associated with this report 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:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) 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: 77599-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Binary | DocumentReference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	eHDSI Language	📦9.1.0	This IG
Composition.extension:diagnosticReport.​value[x]:valueReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	eHDSI Laboratory Study Types	📦9.1.0	This IG
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
Composition.section.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section.​section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:annotations.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:attachment.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:attachment.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:attachment.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:attachment.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations, Composition.section:attachment	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:annotations, Composition.section:attachment	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 CompositionMyHealthCore

Summary

Mandatory: 1 element(4 nested mandatory elements)
Prohibited: 4 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.extension.value[x]
• The element 1 is sliced based on the value of Composition.section

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionMyHealthCore	A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the composition content Binding: eHDSI Language (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
text		0..1	Narrative	Narrative text This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension				Content/Rules for all slices
extension:version	O	0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 Obligations Actor SHOULD:handle MyHealth@EU Handler
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
Slices for value[x]		1..1	Reference(DiagnosticReport)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference()	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Report identifier Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
type	OΣ	1..1	CodeableConcept	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for category	Σ	0..*	CodeableConcept	Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	Document Category Binding: eHDSI Laboratory Study Types (required)
subject	OΣ	1..1	Reference(Patient (Core))	Who and/or what this report is about Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
author	OΣ	1..*	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device)	Who and/or what authored the composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
title	OΣ	1..1	string	Laboratory Report Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
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 SHOULD:handle MyHealth@EU Handler
party	O	0..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition Obligations Actor SHOULD:handle MyHealth@EU Handler
attester:legalAuthenticator	O	0..*	BackboneElement	Attests to accuracy of composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
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		1..1	Reference(PractitionerRole (Core) | Practitioner (Core))	Who attested the composition
attester:validator		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		1..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition
custodian	OΣ	0..1	Reference(Organization (Core))	Organization which maintains the composition Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible)
text	C	1..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
entry	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section	C	0..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	OC	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..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
section:attachment	C	0..*	BackboneElement	Additional data (like images, diagrams) associated with this report Constraints: cmp-1, cmp-2
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) 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: 77599-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..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
entry	C	1..*	Reference(Binary | DocumentReference)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	eHDSI Language	📦9.1.0	This IG
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	eHDSI Laboratory Study Types	📦9.1.0	This IG
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:annotations.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:attachment.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations, Composition.section:attachment	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:annotations, Composition.section:attachment	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	Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section.section.modifierExtension, Composition.section:annotations.extension:section-note, Composition.section:annotations.modifierExtension, Composition.section:annotations.section.modifierExtension, Composition.section:attachment.extension:section-note, Composition.section:attachment.modifierExtension, Composition.section:attachment.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from CompositionMyHealthCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition			CompositionMyHealthCore	This profile also imposes the profile Composition: Laboratory Report
language	O	0..1	code	Language of the composition content Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
text		0..1	Narrative	Narrative text
Slices for extension				Content/Rules for all slices
extension:version	O	0..1	R5 Composition.version	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) Obligations Actor SHOULD:handle MyHealth@EU Handler
extension:diagnosticReport		0..1	DiagnosticReportReference	Document DiagnosticReport Reference
extension		0..0		Extension
Slices for value[x]		1..1	Reference(DiagnosticReport)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference		1..1	Reference()	Value of extension
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier	O	1..1	Identifier	Report identifier Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
type	O	1..1	CodeableConcept	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for category				Content/Rules for all slices
category:studyType		0..*	CodeableConcept	Document Category Binding: eHDSI Laboratory Study Types (required)
subject	O	1..1	Reference(Patient (Core))	Who and/or what this report is about Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
date	O	1..1	dateTime	Composition editing time Obligations Actor Source SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
author	O	1..*	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device)	Who and/or what authored the composition Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
title	O	1..1	string	Laboratory Report Obligations Actor Source SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
attester		0..*	BackboneElement	Attests to accuracy of composition
time	O	0..1	dateTime	When the composition was attested Obligations Actor SHOULD:handle MyHealth@EU Handler
party	O	0..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition Obligations Actor SHOULD:handle MyHealth@EU Handler
custodian	O	0..1	Reference(Organization (Core))	Organization which maintains the composition Obligations Actor Source SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
entry	O	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section		0..*	BackboneElement	Nested Section
entry	O	0..*	Reference(Resource)	A reference to data that supports this section Obligations Actor SHALL:handle MyHealth@EU Handler
section:annotations		0..*	BackboneElement	Annotation comment
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: 48767-8
entry		0..0		A reference to data that supports this section
section		0..0		Nested Section
section:attachment		0..*	BackboneElement	Additional data (like images, diagrams) associated with this report
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: 77599-9
entry		1..*	Reference(Binary | DocumentReference)	A reference to data that supports this section
section		0..0		Nested Section
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
Composition.category:studyType	Base	required	eHDSI Laboratory Study Types	📦9.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionMyHealthCore	A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition: Laboratory Report
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	0..1	code	Language of the composition content Binding: eHDSI Language (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
text		0..1	Narrative	Narrative text 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:version	O	0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 Obligations Actor SHOULD:handle MyHealth@EU Handler
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x]		0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson)	Value of extension
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
Slices for value[x]		1..1	Reference(DiagnosticReport)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference()	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	1..1	Identifier	Report identifier Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
status	?!OΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
type	OΣ	1..1	CodeableConcept	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
Slices for category	Σ	0..*	CodeableConcept	Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	Document Category Binding: eHDSI Laboratory Study Types (required)
subject	OΣ	1..1	Reference(Patient (Core))	Who and/or what this report is about Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
author	OΣ	1..*	Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device)	Who and/or what authored the composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
title	OΣ	1..1	string	Laboratory Report Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core) SHALL:handle & SHALL:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
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 SHOULD:handle MyHealth@EU Handler
party	O	0..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition Obligations Actor SHOULD:handle MyHealth@EU Handler
attester:legalAuthenticator	O	0..*	BackboneElement	Attests to accuracy of composition Obligations Actor Source SHALL:handle MyHealth@EU Handler from Composition (Core)
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		1..1	Reference(PractitionerRole (Core) | Practitioner (Core))	Who attested the composition
attester:validator		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		1..1	Reference(Practitioner (Core) | PractitionerRole (Core))	Who attested the composition
custodian	OΣ	0..1	Reference(Organization (Core))	Organization which maintains the composition Obligations Actor Source SHOULD:handle MyHealth@EU Handler from Composition (Core) SHOULD:handle & SHOULD:handle MyHealth@EU HandlerMyHealth@EU Handler from Composition (Core)
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Event period
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 MyHealth@EU Handler
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 MyHealth@EU Handler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:annotations	C	0..*	BackboneElement	Annotation comment 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:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:attachment	C	0..*	BackboneElement	Additional data (like images, diagrams) associated with this report 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:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Section (extensible) 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: 77599-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..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
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Binary | DocumentReference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	eHDSI Language	📦9.1.0	This IG
Composition.extension:diagnosticReport.​value[x]:valueReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	eHDSI Laboratory Study Types	📦9.1.0	This IG
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
Composition.section.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section.​section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:annotations.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:attachment.​code	Base	extensible	eHDSI Section	📦9.1.0	This IG
Composition.section:attachment.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:attachment.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:attachment.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:attachment.​section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations, Composition.section:attachment	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:annotations, Composition.section:attachment	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 CompositionMyHealthCore

Summary

Mandatory: 1 element(4 nested mandatory elements)
Prohibited: 4 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.extension.value[x]
• The element 1 is sliced based on the value of Composition.section

Maturity: 1