This page is part of the MyHealth@Eu Laboratory Report (v0.0.1: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, 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.

Usage:

• Use this Resource Profile: Bundle: Laboratory
• Examples for this Resource Profile: Composition/SampleComposition

Formal Views of Profile Content

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

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

This structure is derived from CompositionLabReportEu

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
extension:versionNumber	O	0..*	versionNumber	Version-specific identifier for composition Obligations Actor handle LabReportHandler
extension:basedOn-order-or-requisition	O	0..*	CompositionBasedOnOrderOrRequisition	Document Based On Order Obligations Actor handle LabReportHandler
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory)	Value of extension
extension:information-recipient	O	0..*	InformationRecipient	Information recipient Obligations Actor handle LabReportHandler
identifier	O	0..1	Identifier	Report identifier Obligations Actor handle LabReportHandler
status	O	1..1	code	Status of the Report Obligations Actor handle LabReportHandler
type	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
category:studyType	O	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
subject	O	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
date	O	1..1	dateTime	Composition editing time Obligations Actor handle LabReportHandler
author	O	1..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization)	Who and/or what authored the Laboratory Report Obligations Actor handle LabReportHandler
title	O	1..1	string	Laboratory Report Obligations Actor handle LabReportHandler
attester
time	O	0..1	dateTime	When the report was attested by the party Obligations Actor handle LabReportHandler
party	O	0..1	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Who attested the report Obligations Actor handle LabReportHandler
section:lab-no-subsections		0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	O	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	O	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler handle LabReportHandler
section:lab-subsections		0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
section
title	O	1..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	O	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	O	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
Composition.type	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
Composition.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
Composition.section:lab-no-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.section.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
versionNumber	O	0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber Obligations Actor handle LabReportHandler
basedOn-order-or-requisition	O	0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition Obligations Actor handle LabReportHandler
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory)	Value of extension
information-recipient	O	0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient Obligations Actor handle LabReportHandler
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..1	Identifier	Report identifier Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor handle LabReportHandler
type	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor handle LabReportHandler
author	OΣ	1..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization)	Who and/or what authored the Laboratory Report Obligations Actor handle LabReportHandler
title	OΣ	1..1	string	Laboratory Report Obligations Actor handle LabReportHandler
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
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	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	OC	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler handle LabReportHandler
section:lab-subsections	C	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
section	C	1..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	1..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	OC	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler
section:annotations	C	0..*	BackboneElement	Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:lab-no-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.section.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
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 resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
text		0..1	Narrative	Narrative text
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber	O	0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber Obligations Actor handle LabReportHandler
basedOn-order-or-requisition	O	0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition Obligations Actor handle LabReportHandler
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory)	Value of extension
information-recipient	O	0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient Obligations Actor handle LabReportHandler
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	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	0..1	Identifier	Report identifier Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor handle LabReportHandler
type	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor handle LabReportHandler
author	OΣ	1..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization)	Who and/or what authored the Laboratory Report Obligations Actor handle LabReportHandler
title	OΣ	1..1	string	Laboratory Report Obligations Actor handle LabReportHandler
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.
attester		0..*	BackboneElement	Attests the report accuracy
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	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	O	0..1	dateTime	When the report was attested by the party Obligations Actor handle LabReportHandler
party	O	0..1	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Who attested the report Obligations Actor handle LabReportHandler
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
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 laboratory 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	Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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
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	0..*	Reference(Resource)	A reference to data that supports this section
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:lab-no-subsections	C	0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
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	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler handle LabReportHandler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:lab-subsections	C	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
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
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	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	1..*	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	O	1..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
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	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotations	C	0..*	BackboneElement	Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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. 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
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	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
Composition.extension:diagnosticReport-reference.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-no-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-no-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-no-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-no-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.section.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:annotations.code	example	Pattern: LOINC code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:annotations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:annotations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CompositionLabReportEu

Summary

Structures

This structure refers to these other structures:

• ServiceRequest: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu)
• Patient: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Patient-lab-myhealtheu)
• Practitioner: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Practitioner-eu-myhealth-eu)
• PractitionerRole: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/PractitionerRole-eu-myhealth-eu)
• Observation Results: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu)

Differential View

This structure is derived from CompositionLabReportEu

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
extension:versionNumber	O	0..*	versionNumber	Version-specific identifier for composition Obligations Actor handle LabReportHandler
extension:basedOn-order-or-requisition	O	0..*	CompositionBasedOnOrderOrRequisition	Document Based On Order Obligations Actor handle LabReportHandler
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory)	Value of extension
extension:information-recipient	O	0..*	InformationRecipient	Information recipient Obligations Actor handle LabReportHandler
identifier	O	0..1	Identifier	Report identifier Obligations Actor handle LabReportHandler
status	O	1..1	code	Status of the Report Obligations Actor handle LabReportHandler
type	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
category:studyType	O	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
subject	O	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
date	O	1..1	dateTime	Composition editing time Obligations Actor handle LabReportHandler
author	O	1..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization)	Who and/or what authored the Laboratory Report Obligations Actor handle LabReportHandler
title	O	1..1	string	Laboratory Report Obligations Actor handle LabReportHandler
attester
time	O	0..1	dateTime	When the report was attested by the party Obligations Actor handle LabReportHandler
party	O	0..1	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Who attested the report Obligations Actor handle LabReportHandler
section:lab-no-subsections		0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	O	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	O	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler handle LabReportHandler
section:lab-subsections		0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
section
title	O	1..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	O	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	O	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
Composition.type	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
Composition.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
Composition.section:lab-no-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.section.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
versionNumber	O	0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber Obligations Actor handle LabReportHandler
basedOn-order-or-requisition	O	0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition Obligations Actor handle LabReportHandler
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory)	Value of extension
information-recipient	O	0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient Obligations Actor handle LabReportHandler
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..1	Identifier	Report identifier Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor handle LabReportHandler
type	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor handle LabReportHandler
author	OΣ	1..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization)	Who and/or what authored the Laboratory Report Obligations Actor handle LabReportHandler
title	OΣ	1..1	string	Laboratory Report Obligations Actor handle LabReportHandler
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
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	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:lab-no-subsections	C	0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	OC	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler handle LabReportHandler
section:lab-subsections	C	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
section	C	1..*	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	1..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
entry	OC	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler
section:annotations	C	0..*	BackboneElement	Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:lab-no-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.section.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
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 resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
text		0..1	Narrative	Narrative text
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber	O	0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber Obligations Actor handle LabReportHandler
basedOn-order-or-requisition	O	0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition Obligations Actor handle LabReportHandler
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory)	Value of extension
information-recipient	O	0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient Obligations Actor handle LabReportHandler
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	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	0..1	Identifier	Report identifier Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor handle LabReportHandler
type	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
date	OΣ	1..1	dateTime	Composition editing time Obligations Actor handle LabReportHandler
author	OΣ	1..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization)	Who and/or what authored the Laboratory Report Obligations Actor handle LabReportHandler
title	OΣ	1..1	string	Laboratory Report Obligations Actor handle LabReportHandler
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.
attester		0..*	BackboneElement	Attests the report accuracy
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	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	O	0..1	dateTime	When the report was attested by the party Obligations Actor handle LabReportHandler
party	O	0..1	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Who attested the report Obligations Actor handle LabReportHandler
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
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 laboratory 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	Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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
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	0..*	Reference(Resource)	A reference to data that supports this section
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:lab-no-subsections	C	0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
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	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler handle LabReportHandler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:lab-subsections	C	0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	O	0..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	0..1	CodeableConcept	Classification of section (recommended) Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
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
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	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	1..*	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	O	1..1	string	Label for section (e.g. for ToC) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: eHDSI Laboratory Study Types with exceptions (required) Obligations Actor handle LabReportHandler
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	OC	0..1	Narrative	Text summary of the section, for human interpretation. Obligations Actor handle LabReportHandler
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	1..*	Reference(Observation Results: Laboratory)	A reference to data that supports this section Obligations Actor handle LabReportHandler
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotations	C	0..*	BackboneElement	Annotation comment cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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. 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
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	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
Composition.extension:diagnosticReport-reference.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-no-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-no-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-no-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-no-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.section.code	required	EHDSILabStudyTypeWithExceptions http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions from this IG
Composition.section:lab-subsections.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:annotations.code	example	Pattern: LOINC code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:annotations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:annotations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CompositionLabReportEu

Summary

Structures

This structure refers to these other structures:

• ServiceRequest: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu)
• Patient: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Patient-lab-myhealtheu)
• Practitioner: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Practitioner-eu-myhealth-eu)
• PractitionerRole: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/PractitionerRole-eu-myhealth-eu)
• Observation Results: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu)