Composition: Laboratory - MyHealth@EU Laboratory Report v9.2.0

Language of the composition content
Binding: eHDSI Language (required)

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Composition.text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.Slices for extension Content/Rules for all slices

extension:version

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

Composition.Slices for extension.extension:version.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Composition.Slices for extension.extension:version.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"

Composition.Slices for extension.extension:informationRecipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient

Composition.Slices for extension.extension:informationRecipient.extension 0..0 Extension
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:informationRecipient.url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"

Composition.Slices for extension.extension:diagnosticReport 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference

Composition.Slices for extension.extension:diagnosticReport.extension 0..0 Extension
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:diagnosticReport.url 1..1 uri "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"

Composition.Slices for extension.extension:diagnosticReport.value[x] 1..1 Reference(DiagnosticReport (MyHealth@EU Core)) Value of extension

Composition.Slices for extension.extension:diagnosticReport.value[x].reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL

Composition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

identifier

1..1

Identifier

Report identifier

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

status

1..1

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Obligations

Actor

Source

SHALL:handle

type

1..1

Type of (Laboratory) Report
Binding: eHDSI Laboratory Report Type (required)

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Reference(Patient (MyHealth@EU Core))

Composition.Slices for category This element is included in summaries. 0..* CodeableConcept Document Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Composition.Slices for category.category:studyType This element is included in summaries. 0..* CodeableConcept Document Category
Binding: eHDSI Laboratory Study Types (required)

subject

1..1

Who and/or what this report is about

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

date

1..1

Composition editing time

Obligations

Actor

Source

SHOULD:handle

SHOULD:handle & SHOULD:handle

Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core) | Organization (MyHealth@EU Core) | Device)

author

1..*

Who and/or what authored the composition

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

title

1..1

string

Laboratory Report

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Composition.Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Composition.Slices for attester.attester:All Slices Content/Rules for all slices

Composition.Slices for attester.attester:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for attester.attester:All Slices.mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the composition was attested

Obligations

Actor

SHOULD:handle

Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core))

party

0..1

Who attested the composition

Obligations

Actor

SHOULD:handle

attester:legalAuthenticator

0..*

BackboneElement

Attests to accuracy of composition

Obligations

Actor

Source

SHALL:handle

Reference(Organization (MyHealth@EU Core))

Composition.Slices for attester.attester:legalAuthenticator.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for attester.attester:legalAuthenticator.mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: legal (extensions allowed)

Composition.Slices for attester.attester:legalAuthenticator.time 1..1 dateTime When the composition was attested

Composition.Slices for attester.attester:legalAuthenticator.party 1..1 Reference(PractitionerRole (MyHealth@EU Core) | Practitioner (MyHealth@EU Core)) Who attested the composition

Composition.Slices for attester.attester:validator 0..* BackboneElement Attests to accuracy of composition

Composition.Slices for attester.attester:validator.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for attester.attester:validator.mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: professional (extensions allowed)

Composition.Slices for attester.attester:validator.time 1..1 dateTime When the composition was attested

Composition.Slices for attester.attester:validator.party 1..1 Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core)) Who attested the composition

custodian

0..1

Organization which maintains the composition

Obligations

Actor

Source

SHOULD:handle

SHOULD:handle & SHOULD:handle

Composition.Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Composition.Slices for section.section:All Slices Content/Rules for all slices

Composition.Slices for section.section:All Slices.Slices for extension Content/Rules for all slices

Composition.Slices for section.section:All Slices.Slices for extension.extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note

Composition.Slices for section.section:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for section.section:All Slices.title 1..1 string Label for section (e.g. for ToC)

Composition.Slices for section.section:All Slices.code 1..1 CodeableConcept Classification of section (recommended)
Binding: eHDSI Section (extensible)

Composition.Slices for section.section:All Slices.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

0..*

A reference to data that supports this section

Obligations

Actor

SHALL:handle

Composition.Slices for section.section:All Slices.section C 0..* BackboneElement Nested Section

Composition.Slices for section.section:All Slices.section.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

0..*

A reference to data that supports this section

Obligations

Actor

SHALL:handle

Composition.Slices for section.section:annotations C 0..* BackboneElement Annotation comment
Constraints: cmp-1, cmp-2

Composition.Slices for section.section:annotations.Slices for extension Content/Rules for all slices

Composition.Slices for section.section:annotations.Slices for extension.extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note

Composition.Slices for section.section:annotations.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for section.section:annotations.title 1..1 string Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: eHDSI Section (extensible)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "48767-8"
    }
  ]
}

Composition.Slices for section.section:annotations.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

Composition.Slices for section.section:attachment C 0..* BackboneElement Additional data (like images, diagrams) associated with this report
Constraints: cmp-1, cmp-2

Composition.Slices for section.section:attachment.Slices for extension Content/Rules for all slices

Composition.Slices for section.section:attachment.Slices for extension.extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note

Composition.Slices for section.section:attachment.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for section.section:attachment.title 1..1 string Label for section (e.g. for ToC)

1..1

Documentation for this format

Classification of section (recommended)
Binding: eHDSI Section (extensible)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "77599-9"
    }
  ]
}

Composition.Slices for section.section:attachment.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

Composition.Slices for section.section:attachment.entry C 1..* Reference(Binary | DocumentReference) A reference to data that supports this section

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:attachment.extension:section-note, Composition.section:attachment.modifierExtension	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from CompositionMyHealthCore

Description & Constraints Filter:

Composition CompositionMyHealthCore This profile also imposes the profile Composition: Laboratory Report

language

0..1

Language of the composition content

Obligations

Actor

Source

SHALL:handle & SHALL:handle

Composition.text 0..1 Narrative Narrative text

Composition.Slices for extension Content/Rules for all slices

extension:version

0..1

R5 Composition.version

R5: An explicitly assigned identifer of a variation of the content in the Composition (new)

Obligations

Actor

SHOULD:handle

Composition.Slices for extension.extension:diagnosticReport 0..1 DiagnosticReportReference Document DiagnosticReport Reference

Composition.Slices for extension.extension:diagnosticReport.value[x] 1..1 Reference(DiagnosticReport (MyHealth@EU Core)) Value of extension

Composition.Slices for extension.extension:diagnosticReport.value[x].reference 1..1 string Literal reference, Relative, internal or absolute URL

identifier

1..1

Identifier

Report identifier

Obligations

Actor

Source

SHALL:handle & SHALL:handle

type

1..1

Type of (Laboratory) Report
Binding: eHDSI Laboratory Report Type (required)

Obligations

Actor

Source

SHALL:handle & SHALL:handle

Reference(Patient (MyHealth@EU Core))

Composition.Slices for category Content/Rules for all slices

Composition.Slices for category.category:studyType 0..* CodeableConcept Document Category
Binding: eHDSI Laboratory Study Types (required)

subject

1..1

Who and/or what this report is about

Obligations

Actor

Source

SHALL:handle & SHALL:handle

date

1..1

Composition editing time

Obligations

Actor

Source

SHOULD:handle & SHOULD:handle

Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core) | Organization (MyHealth@EU Core) | Device)

author

1..*

Who and/or what authored the composition

Obligations

Actor

Source

SHALL:handle & SHALL:handle

title

1..1

string

Laboratory Report

Obligations

Actor

Source

SHALL:handle & SHALL:handle

Composition.attester 0..* BackboneElement Attests to accuracy of composition

time

0..1

When the composition was attested

Obligations

Actor

SHOULD:handle

Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core))

party

0..1

Who attested the composition

Obligations

Actor

SHOULD:handle

Reference(Organization (MyHealth@EU Core))

custodian

0..1

Organization which maintains the composition

Obligations

Actor

Source

SHOULD:handle & SHOULD:handle

Composition.Slices for section 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Composition.Slices for section.section:All Slices Content/Rules for all slices

0..*

A reference to data that supports this section

Obligations

Actor

SHALL:handle

Composition.Slices for section.section:All Slices.section 0..* BackboneElement Nested Section

0..*

A reference to data that supports this section

Obligations

Actor

SHALL:handle

Composition.Slices for section.section:annotations 0..* BackboneElement Annotation comment

1..1

Classification of section (recommended)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "48767-8"
    }
  ]
}

Composition.Slices for section.section:annotations.entry 0..0 A reference to data that supports this section

Composition.Slices for section.section:annotations.section 0..0 Nested Section

Composition.Slices for section.section:attachment 0..* BackboneElement Additional data (like images, diagrams) associated with this report

1..1

Documentation for this format

Classification of section (recommended)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "77599-9"
    }
  ]
}

Composition.Slices for section.section:attachment.entry 1..* Reference(Binary | DocumentReference) A reference to data that supports this section

Composition.Slices for section.section:attachment.section 0..0 Nested Section

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

Description & Constraints Filter:

Composition.id This element is included in summaries. 0..1 id Logical id of this artifact

Composition.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Composition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

Language of the composition content
Binding: eHDSI Language (required)

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Composition.text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.contained 0..* Resource Contained, inline Resources

Composition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

extension:version

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

Composition.Slices for extension.extension:version.id 0..1 string Unique id for inter-element referencing

Composition.Slices for extension.extension:version.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Composition.Slices for extension.extension:version.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"

Composition.Slices for extension.extension:version.value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the Composition

Composition.Slices for extension.extension:informationRecipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient

Composition.Slices for extension.extension:informationRecipient.id 0..1 string Unique id for inter-element referencing

Composition.Slices for extension.extension:informationRecipient.extension 0..0 Extension
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:informationRecipient.url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"

Composition.Slices for extension.extension:informationRecipient.value[x] 0..1 Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core) | Organization (MyHealth@EU Core) | Device | Patient (MyHealth@EU Core) | RelatedPerson) Value of extension

Composition.Slices for extension.extension:diagnosticReport.id 0..1 string Unique id for inter-element referencing

Composition.Slices for extension.extension:diagnosticReport.extension 0..0 Extension
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:diagnosticReport.url 1..1 uri "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"

Composition.Slices for extension.extension:diagnosticReport.value[x] 1..1 Reference(DiagnosticReport (MyHealth@EU Core)) Value of extension

Composition.Slices for extension.extension:diagnosticReport.value[x].id 0..1 string Unique id for inter-element referencing

Composition.Slices for extension.extension:diagnosticReport.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:diagnosticReport.value[x].reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL

Composition.Slices for extension.extension:diagnosticReport.value[x].type This element is included in summaries. 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).

Composition.Slices for extension.extension:diagnosticReport.value[x].identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Composition.Slices for extension.extension:diagnosticReport.value[x].display This element is included in summaries. 0..1 string Text alternative for the resource

Composition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

identifier

1..1

Identifier

Report identifier

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

status

1..1

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Obligations

Actor

Source

SHALL:handle

type

1..1

Type of (Laboratory) Report
Binding: eHDSI Laboratory Report Type (required)

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Reference(Patient (MyHealth@EU Core))

Composition.Slices for category.category:studyType This element is included in summaries. 0..* CodeableConcept Document Category
Binding: eHDSI Laboratory Study Types (required)

subject

1..1

Who and/or what this report is about

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Composition.encounter This element is included in summaries. 0..1 Reference(Encounter) Context of the Composition

date

1..1

Composition editing time

Obligations

Actor

Source

SHOULD:handle

SHOULD:handle & SHOULD:handle

Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core) | Organization (MyHealth@EU Core) | Device)

author

1..*

Who and/or what authored the composition

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

title

1..1

string

Laboratory Report

Obligations

Actor

Source

SHALL:handle

SHALL:handle & SHALL:handle

Composition.confidentiality This element is included in summaries. 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

Composition.Slices for attester.attester:All Slices Content/Rules for all slices

Composition.Slices for attester.attester:All Slices.id 0..1 string Unique id for inter-element referencing

Composition.Slices for attester.attester:All Slices.extension 0..* Extension Additional content defined by implementations

time

0..1

When the composition was attested

Obligations

Actor

SHOULD:handle

Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core))

party

0..1

Who attested the composition

Obligations

Actor

SHOULD:handle

attester:legalAuthenticator

0..*

BackboneElement

Attests to accuracy of composition

Obligations

Actor

Source

SHALL:handle

Reference(Organization (MyHealth@EU Core))

Composition.Slices for attester.attester:legalAuthenticator.id 0..1 string Unique id for inter-element referencing

Composition.Slices for attester.attester:legalAuthenticator.extension 0..* Extension Additional content defined by implementations

Composition.Slices for attester.attester:legalAuthenticator.time 1..1 dateTime When the composition was attested

Composition.Slices for attester.attester:legalAuthenticator.party 1..1 Reference(PractitionerRole (MyHealth@EU Core) | Practitioner (MyHealth@EU Core)) Who attested the composition

Composition.Slices for attester.attester:validator 0..* BackboneElement Attests to accuracy of composition

Composition.Slices for attester.attester:validator.id 0..1 string Unique id for inter-element referencing

Composition.Slices for attester.attester:validator.extension 0..* Extension Additional content defined by implementations

Composition.Slices for attester.attester:validator.time 1..1 dateTime When the composition was attested

Composition.Slices for attester.attester:validator.party 1..1 Reference(Practitioner (MyHealth@EU Core) | PractitionerRole (MyHealth@EU Core)) Who attested the composition

custodian

0..1

Organization which maintains the composition

Obligations

Actor

Source

SHOULD:handle

SHOULD:handle & SHOULD:handle

Composition.relatesTo 0..* BackboneElement Relationships to other compositions/documents

Composition.relatesTo.id 0..1 string Unique id for inter-element referencing

Composition.relatesTo.extension 0..* Extension Additional content defined by implementations

Composition.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.relatesTo.code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

Composition.relatesTo.target[x] 1..1 Target of the relationship

Composition.relatesTo.target[x].targetIdentifier Identifier

Composition.relatesTo.target[x].targetReference Reference(Composition)

Composition.event This element is included in summaries. 0..* BackboneElement The clinical service(s) being documented

Composition.event.id 0..1 string Unique id for inter-element referencing

Composition.event.extension 0..* Extension Additional content defined by implementations

Composition.event.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.event.code This element is included in summaries. 0..* CodeableConcept Event code
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Composition.event.period This element is included in summaries. 0..1 Period Event period

Composition.event.detail This element is included in summaries. 0..* Reference(Resource) The event(s) being documented

Composition.Slices for section.section:All Slices Content/Rules for all slices

Composition.Slices for section.section:All Slices.id 0..1 string Unique id for inter-element referencing

Composition.Slices for section.section:All Slices.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Composition.Slices for section.section:All Slices.title 1..1 string Label for section (e.g. for ToC)

Composition.Slices for section.section:All Slices.code 1..1 CodeableConcept Classification of section (recommended)
Binding: eHDSI Section (extensible)

Composition.Slices for section.section:All Slices.focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition

Composition.Slices for section.section:All Slices.mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Composition.Slices for section.section:All Slices.orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

Obligations

Actor

SHALL:handle

Composition.Slices for section.section:All Slices.emptyReason C 0..1 CodeableConcept Empty reason
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Composition.Slices for section.section:All Slices.section C 0..* BackboneElement Nested Section

Composition.Slices for section.section:All Slices.section.id 0..1 string Unique id for inter-element referencing

Composition.Slices for section.section:All Slices.section.extension 0..* Extension Additional content defined by implementations

Composition.Slices for section.section:All Slices.section.title 0..1 string Label for section (e.g. for ToC)

Composition.Slices for section.section:All Slices.section.code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Composition.Slices for section.section:All Slices.section.focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition

Composition.Slices for section.section:All Slices.section.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

Composition.Slices for section.section:All Slices.section.mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Composition.Slices for section.section:All Slices.section.orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

Obligations

Actor

SHALL:handle

Composition.Slices for section.section:All Slices.section.emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Composition.Slices for section.section:All Slices.section.section C 0..* See section (Composition) Nested Section

Composition.Slices for section.section:annotations C 0..* BackboneElement Annotation comment
Constraints: cmp-1, cmp-2

Composition.Slices for section.section:annotations.id 0..1 string Unique id for inter-element referencing

Composition.Slices for section.section:annotations.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Composition.Slices for section.section:annotations.Slices for extension Content/Rules for all slices

Composition.Slices for section.section:annotations.title 1..1 string Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: eHDSI Section (extensible)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "48767-8"
    }
  ]
}

Composition.Slices for section.section:annotations.focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition

Composition.Slices for section.section:annotations.mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Composition.Slices for section.section:annotations.orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

Composition.Slices for section.section:annotations.emptyReason C 0..1 CodeableConcept Empty reason
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Composition.Slices for section.section:attachment C 0..* BackboneElement Additional data (like images, diagrams) associated with this report
Constraints: cmp-1, cmp-2

Composition.Slices for section.section:attachment.id 0..1 string Unique id for inter-element referencing

Composition.Slices for section.section:attachment.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Composition.Slices for section.section:attachment.Slices for extension Content/Rules for all slices

Composition.Slices for section.section:attachment.title 1..1 string Label for section (e.g. for ToC)

1..1