# Composition: Laboratory - MyHealth@Eu Laboratory Report v9.1.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Composition: Laboratory**

## Resource Profile: Composition: Laboratory 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://fhir.ehdsi.eu/laboratory/StructureDefinition/Composition-lab-myhealtheu | *Version*:9.1.1 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:CompositionLabReportMyHealthEu |

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

**Usages:**

* Use this Profile: [Bundle: Laboratory](StructureDefinition-Bundle-lab-myhealtheu.md)
* Refer to this Profile: [DiagnosticReport: Laboratory](StructureDefinition-DiagnosticReport-lab-myhealtheu.md)
* Examples for this Profile: [Composition/SampleComposition](Composition-SampleComposition.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/myhealth.eu.fhir.laboratory|current/StructureDefinition/Composition-lab-myhealtheu)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-Composition-lab-myhealtheu.csv), [Excel](StructureDefinition-Composition-lab-myhealtheu.xlsx), [Schematron](StructureDefinition-Composition-lab-myhealtheu.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "Composition-lab-myhealtheu",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab"
  }],
  "url" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Composition-lab-myhealtheu",
  "version" : "9.1.1",
  "name" : "CompositionLabReportMyHealthEu",
  "title" : "Composition: Laboratory",
  "status" : "active",
  "date" : "2026-05-05T17:14:55+02:00",
  "publisher" : "MyHealth@Eu",
  "contact" : [{
    "name" : "MyHealth@Eu",
    "telecom" : [{
      "system" : "url",
      "value" : "https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en"
    }]
  }],
  "description" : "This profile defines how to constrain the Clinical document profile (Composition) to represent a Laboratory Report for the purpose of this guide.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "fhirdocumentreference",
    "uri" : "http://hl7.org/fhir/documentreference",
    "name" : "FHIR DocumentReference"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Composition",
  "baseDefinition" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Composition.language",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.language"
    },
    {
      "id" : "Composition.text",
      "path" : "Composition.text",
      "short" : "Narrative text"
    },
    {
      "id" : "Composition.extension:version",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.extension",
      "sliceName" : "version"
    },
    {
      "id" : "Composition.extension:diagnosticReport",
      "path" : "Composition.extension",
      "sliceName" : "diagnosticReport"
    },
    {
      "id" : "Composition.extension:diagnosticReport.extension",
      "path" : "Composition.extension.extension",
      "max" : "0"
    },
    {
      "id" : "Composition.extension:diagnosticReport.value[x]",
      "path" : "Composition.extension.value[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "Composition.extension:diagnosticReport.value[x]:valueReference",
      "path" : "Composition.extension.value[x]",
      "sliceName" : "valueReference",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }]
    },
    {
      "id" : "Composition.extension:diagnosticReport.value[x]:valueReference.reference",
      "path" : "Composition.extension.value[x].reference",
      "min" : 1
    },
    {
      "id" : "Composition.identifier",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.identifier",
      "definition" : "Identifiers assigned to this Laboratory Report by the performer or other systems. It shall be common to several report versions",
      "comment" : "Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists"
    },
    {
      "id" : "Composition.type",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.type",
      "short" : "Type of (Laboratory) Report",
      "definition" : "Specifies that it refers to a Laboratory Report",
      "comment" : "At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportType"
      }
    },
    {
      "id" : "Composition.category:studyType",
      "path" : "Composition.category",
      "sliceName" : "studyType",
      "min" : 0,
      "max" : "*",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType"
      }
    },
    {
      "id" : "Composition.subject",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.subject",
      "short" : "Who and/or what this report is about",
      "definition" : "Who this report is about. The report can be about a human patient.",
      "comment" : "DiagnosticReport and Composition SHALL have the same subject"
    },
    {
      "id" : "Composition.date",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.date"
    },
    {
      "id" : "Composition.author",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.author",
      "comment" : "If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author."
    },
    {
      "id" : "Composition.title",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.title",
      "short" : "Laboratory Report"
    },
    {
      "id" : "Composition.attester",
      "path" : "Composition.attester"
    },
    {
      "id" : "Composition.attester.time",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.attester.time"
    },
    {
      "id" : "Composition.attester.party",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.attester.party"
    },
    {
      "id" : "Composition.custodian",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core|1.0.0"
        },
        {
          "url" : "code",
          "valueCode" : "SHOULD:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.custodian"
    },
    {
      "id" : "Composition.section",
      "path" : "Composition.section",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "code"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "Composition.section.entry",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.section.entry"
    },
    {
      "id" : "Composition.section.section",
      "path" : "Composition.section.section",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Composition.section.section.entry",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Composition.section.section.entry"
    },
    {
      "id" : "Composition.section:annotations",
      "path" : "Composition.section",
      "sliceName" : "annotations",
      "short" : "Annotation comment",
      "definition" : "Narrative expression of comments accompanying the report, such as suggestions for evaluation, technical notes from the laboratory, etc.\n\nExamples:\nSuggestion: This result should be evaluated in relation to the patient's medical history and clinical condition.\nTechnical note: A list of accredited examination(s) is available at www.laboratory.com. ",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Composition.section:annotations.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "48767-8"
        }]
      }
    },
    {
      "id" : "Composition.section:annotations.entry",
      "path" : "Composition.section.entry",
      "max" : "0"
    },
    {
      "id" : "Composition.section:annotations.section",
      "path" : "Composition.section.section",
      "max" : "0"
    },
    {
      "id" : "Composition.section:attachment",
      "path" : "Composition.section",
      "sliceName" : "attachment",
      "short" : "Additional data (like images, diagrams) associated with this report",
      "definition" : "A  list of additional data associated with this report. This data is generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Composition.section:attachment.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "77599-9"
        }]
      }
    },
    {
      "id" : "Composition.section:attachment.entry",
      "path" : "Composition.section.entry",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Binary",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }]
    },
    {
      "id" : "Composition.section:attachment.section",
      "path" : "Composition.section.section",
      "max" : "0"
    }]
  }
}

```
