This page is part of the CH LAB-Report (R4) (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: CH LAB-Report Composition: Laboratory Report

This profile constrains the Composition resource for the purpose of laboratory test reports in Switzerland.

Usage:

• Use this Resource Profile: CH LAB-Report Document: Laboratory Report
• Refer to this Resource Profile: CH LAB-Report DiagnosticReport: Laboratory Report

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 CHCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]		0..1	Reference(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization)	Value of extension
basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
Slices for value[x]		0..1	Identifier, Reference(ServiceRequest)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference		0..1	Reference(CH LAB-Report ServiceRequest: Laboratory Order)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
value[x]		1..1	Reference(CH LAB-Report DiagnosticReport: Laboratory Report)	Value of extension
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	Identifier	Report identifier
Slices for category		0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$this
category:studyType		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required)
subject		0..1	Reference(CH LAB-Report Patient)	Who and/or what the composition is about
author		1..*	Reference(CH LAB-Report PractitionerRole | CH LAB-Report Practitioner | CH Core Organization)	Who and/or what authored the composition
custodian		0..1	Reference(CH Core Organization)	Organization which maintains the composition
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices				Content/Rules for all slices
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended)
section:lab-no-subsections		0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section
section		0..0
section:lab-subsections		0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text		0..0
entry		0..0
section		1..*	BackboneElement	Nested Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section
section		0..0
section:annotations		0..*	BackboneElement	Annotation comment
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..0
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.section:lab-no-subsections.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
information-recipient		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
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization)	Value of extension ele-1: All FHIR elements must have a @value or children
basedOn-order-or-requisition		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
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest)
value[x]:valueReference		0..1	Reference(CH LAB-Report ServiceRequest: Laboratory Order)	Value of extension ele-1: All FHIR elements must have a @value or children
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(CH LAB-Report DiagnosticReport: Laboratory Report)	Value of extension ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..1	Identifier	Report identifier ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children
Slices for category	Σ	0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$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		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required) ele-1: All FHIR elements must have a @value or children
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	0..1	Reference(CH LAB-Report Patient)	Who and/or what the composition is about 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
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	Σ	1..*	Reference(CH LAB-Report PractitionerRole | CH LAB-Report Practitioner | CH Core Organization)	Who and/or what authored the composition 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
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children
custodian	Σ	0..1	Reference(CH Core Organization)	Organization which maintains the composition 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
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	CodeableConcept	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
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text	C	0..1	Narrative	Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry	C	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
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
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
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		1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text	C	0..1	Narrative	Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry	C	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
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
code		0..1	CodeableConcept	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:annotations.code	example	Pattern: LOINC Code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes 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()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
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(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization)	Value of extension
basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
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		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest)
value[x]:valueReference		0..1	Reference(CH LAB-Report ServiceRequest: Laboratory Order)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(CH LAB-Report DiagnosticReport: Laboratory Report)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required)
subject	Σ	0..1	Reference(CH LAB-Report Patient)	Who and/or what the composition is about
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
encounter	Σ	0..1	Reference(CH Core Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(CH LAB-Report PractitionerRole | CH LAB-Report Practitioner | CH Core Organization)	Who and/or what authored the composition
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
title	Σ	1..1	string	Human Readable name/title
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 to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who attested the composition
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
custodian	Σ	0..1	Reference(CH Core Organization)	Organization which maintains the composition
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
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(CH Core Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by 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	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
author		0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	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: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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
author		0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
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	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	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: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(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
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.attester.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.custodian.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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 CHCoreComposition

Summary

Mandatory: 3 elements(8 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• CH LAB-Report Practitioner (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitioner)
• CH LAB-Report Patient (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-patient)
• CH LAB-Report PractitionerRole (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitionerrole)
• CH Core Organization (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization)
• CH LAB-Report ServiceRequest: Laboratory Order (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-servicerequest)
• CH LAB-Report DiagnosticReport: Laboratory Report (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-diagnosticreport)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• CH LAB-Report Observation Results: Laboratory Report (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-results-laboratory)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/StructureDefinition/information-recipient
• http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
• http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.extension.value[x]
• The element 1 is sliced based on the value of Composition.category
• The element 2 is sliced based on the values of Composition.section

Differential View

This structure is derived from CHCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
value[x]		0..1	Reference(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization)	Value of extension
basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
Slices for value[x]		0..1	Identifier, Reference(ServiceRequest)	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueReference		0..1	Reference(CH LAB-Report ServiceRequest: Laboratory Order)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
value[x]		1..1	Reference(CH LAB-Report DiagnosticReport: Laboratory Report)	Value of extension
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	Identifier	Report identifier
Slices for category		0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$this
category:studyType		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required)
subject		0..1	Reference(CH LAB-Report Patient)	Who and/or what the composition is about
author		1..*	Reference(CH LAB-Report PractitionerRole | CH LAB-Report Practitioner | CH Core Organization)	Who and/or what authored the composition
custodian		0..1	Reference(CH Core Organization)	Organization which maintains the composition
Slices for section		1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry
section:All Slices				Content/Rules for all slices
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended)
section:lab-no-subsections		0..*	BackboneElement	Variant 1: EU Laboratory Report section with entries and no sub-sections
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section
section		0..0
section:lab-subsections		0..*	BackboneElement	Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text		0..0
entry		0..0
section		1..*	BackboneElement	Nested Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
text		0..1	Narrative	Text summary of the section, for human interpretation.
entry		1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section
section		0..0
section:annotations		0..*	BackboneElement	Annotation comment
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..0
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.section:lab-no-subsections.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
information-recipient		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
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization)	Value of extension ele-1: All FHIR elements must have a @value or children
basedOn-order-or-requisition		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
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest)
value[x]:valueReference		0..1	Reference(CH LAB-Report ServiceRequest: Laboratory Order)	Value of extension ele-1: All FHIR elements must have a @value or children
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(CH LAB-Report DiagnosticReport: Laboratory Report)	Value of extension ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..1	Identifier	Report identifier ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children
Slices for category	Σ	0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$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		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required) ele-1: All FHIR elements must have a @value or children
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	0..1	Reference(CH LAB-Report Patient)	Who and/or what the composition is about 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
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	Σ	1..*	Reference(CH LAB-Report PractitionerRole | CH LAB-Report Practitioner | CH Core Organization)	Who and/or what authored the composition 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
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children
custodian	Σ	0..1	Reference(CH Core Organization)	Organization which maintains the composition 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
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	CodeableConcept	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
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text	C	0..1	Narrative	Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry	C	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
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
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
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		1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred) ele-1: All FHIR elements must have a @value or children
text	C	0..1	Narrative	Text summary of the section, for human interpretation. ele-1: All FHIR elements must have a @value or children
entry	C	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
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
code		0..1	CodeableConcept	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:annotations.code	example	Pattern: LOINC Code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes 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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHCoreComposition	Laboratory Report composition This profile also imposes the profile Composition: Laboratory Report
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-recipient		0..*	(Complex)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
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(CH LAB-Report Practitioner | Device | CH LAB-Report Patient | RelatedPerson | CH LAB-Report PractitionerRole | CH Core Organization)	Value of extension
basedOn-order-or-requisition		0..*	(Complex)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
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		Value of extension Slice: Unordered, Open by type:$this
valueIdentifier			Identifier
valueReference			Reference(ServiceRequest)
value[x]:valueReference		0..1	Reference(CH LAB-Report ServiceRequest: Laboratory Order)	Value of extension
diagnosticReport-reference		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(CH LAB-Report DiagnosticReport: Laboratory Report)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType		0..*	CodeableConceptIPS	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConceptIPS	The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles) Binding: Laboratory Specialty (required)
subject	Σ	0..1	Reference(CH LAB-Report Patient)	Who and/or what the composition is about
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
encounter	Σ	0..1	Reference(CH Core Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(CH LAB-Report PractitionerRole | CH LAB-Report Practitioner | CH Core Organization)	Who and/or what authored the composition
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
title	Σ	1..1	string	Human Readable name/title
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 to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who attested the composition
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
custodian	Σ	0..1	Reference(CH Core Organization)	Organization which maintains the composition
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
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(CH Core Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by 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	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
author		0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	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: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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
author		0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Laboratory Study Types (preferred)
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	1..*	Reference(CH LAB-Report Observation Results: Laboratory Report)	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: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(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
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.attester.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.custodian.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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 CHCoreComposition

Summary

Mandatory: 3 elements(8 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• CH LAB-Report Practitioner (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitioner)
• CH LAB-Report Patient (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-patient)
• CH LAB-Report PractitionerRole (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitionerrole)
• CH Core Organization (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization)
• CH LAB-Report ServiceRequest: Laboratory Order (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-servicerequest)
• CH LAB-Report DiagnosticReport: Laboratory Report (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-diagnosticreport)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• CH LAB-Report Observation Results: Laboratory Report (http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-results-laboratory)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/StructureDefinition/information-recipient
• http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
• http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.extension.value[x]
• The element 1 is sliced based on the value of Composition.category
• The element 2 is sliced based on the values of Composition.section