MyHealth@Eu Laboratory Report
0.1.1 - trial-use 150

This page is part of the MyHealth@Eu Laboratory Report (v0.1.1: Wave 8) 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

Resource Profile: Composition: Laboratory

Official URL: http://fhir.ehdsi.eu/laboratory/StructureDefinition/Composition-lab-myhealtheu Version: 0.1.1
Active as of 2025-03-20 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.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CompositionLabReportEu Laboratory Report composition
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language O 0..1 code Language of the resource content
Binding: eHDSI Language (required)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... Slices for extension Content/Rules for all slices
.... extension:versionNumber O 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL:handle LabReportHandler
.... extension:basedOn-order-or-requisition O 0..* (Complex) Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL: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
ele-1: All FHIR elements must have a @value or children
...... value[x]:valueReference 0..1 Reference(ServiceRequest: Laboratory) Value of extension
ele-1: All FHIR elements must have a @value or children
.... extension:information-recipient O 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL:handle LabReportHandler
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... extension:diagnosticReport-reference 0..1 (Complex) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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
ele-1: All FHIR elements must have a @value or children
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... identifier OΣ 0..1 Identifier Report identifier
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... status ?!OΣ 1..1 code Status of the Report
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... type OΣ 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: eHDSI Laboratory Report Types (required)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


ele-1: All FHIR elements must have a @value or children
.... 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)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL: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)
ele-1: All FHIR elements must have a @value or children
... subject OΣ 1..1 Reference(Patient: Laboratory) Who and/or what this report is about
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... date OΣ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... author OΣ 1..* Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Device | Organization) Who and/or what authored the Laboratory Report
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
... title OΣ 1..1 string Laboratory Report
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL: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
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title O 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
..... code O 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: eHDSI Laboratory Study Types with exceptions (required)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
..... text OC 0..1 Narrative Text summary of the section, for human interpretation.
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
..... entry OC 1..* Reference(Observation Results: Laboratory) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
SHALL: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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title O 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
..... code O 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: eHDSI Laboratory Study Types with exceptions (required)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
..... section C 1..* BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... title O 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
...... code O 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: eHDSI Laboratory Study Types with exceptions (required)
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
...... text OC 0..1 Narrative Text summary of the section, for human interpretation.
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle LabReportHandler
...... entry OC 1..* Reference(Observation Results: Laboratory) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL: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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48767-8
..... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagerequiredEHDSILanguage
http://terminology.ehdsi.eu/ValueSet/eHDSILanguage
from this IG
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredEHDSILaboratoryReportTypes
http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes
from this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredEHDSILabStudyType
http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType
from this IG
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:lab-no-subsections.coderequiredEHDSILabStudyTypeWithExceptions
http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions
from this IG
Composition.section:lab-subsections.coderequiredEHDSILabStudyTypeWithExceptions
http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions
from this IG
Composition.section:lab-subsections.section.coderequiredEHDSILabStudyTypeWithExceptions
http://fhir.ehdsi.eu/laboratory/ValueSet/eHDSILabStudyTypeWithExceptions
from this IG
Composition.section:annotations.codeexamplePattern: LOINC Code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotationsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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