HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use Italy flag

This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.2.0: Release 1) 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 - Lab Report

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/composition-it-lab Version: 0.2.0
Standards status: Trial-use Maturity Level: 1 Computable Name: CompositionRefertoLabIt

Descrizione del referto di laboratorio tramite il profilo della risorsa Composition per il referto di laboratorio.

Usage:

Formal Views of Profile Content

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

This structure is derived from CompositionLabReportEu

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionLabReportEuComposition Referto di Laboratorio
... language 1..1codeMetadato che indica la lingua utilizzata per descrivere la risorsa.
Required Pattern: it-IT
... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
... extension:information-recipient 0..*InformationRecipientProfessionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
... identifier 1..1IdentifierIdentificativo indipendente dalla versione.
... status 1..1codeStato del Referto
... type 1..1CodeableConceptIPSReferto di Laboratorio
... category 0..*CodeableConceptIPSReport Category
... subject 1..1Reference(Patient - Lab Report)Who and/or what this report is about
... encounter 0..1Reference(Encounter - Lab Report)Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... date 1..1dateTimeData di modifica della risorsa Composition.
... author 1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)Chi e/o cosa è l'autore del referto di laboratorio.
... title 1..1stringTitolo o nome human-readable della Composition.
Required Pattern: Referto di Laboratorio
... confidentiality 0..1codeCodice di confidenzialità della Composition.
Binding: Confidentiality (required)
... Slices for attester 1..*BackboneElementProfessionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento.
Slice: Unordered, Open by value:mode
.... attester:legalAuthenticator 0..1BackboneElementFirmatario del documento FHIR.
..... mode 1..1codeThe type of attestation
Required Pattern: legal
..... time 1..1dateTimeRiferimento temporale della firma.
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al firmatario.
.... attester:authenticator 0..1BackboneElementValidatore del documento FHIR.
..... mode 1..1codeThe type of attestation
Required Pattern: professional
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al validatore.
... custodian 0..1Reference(Organization - Lab Report)Organizzazione che si occupa della conservazione del documento FHIR.
... section 1..*BackboneElementComposition is broken into sections
.... title 1..1stringTitolo della sezione.
.... code 1..1CodeableConceptIPSCodice della sezione.
... section:lab-no-subsections 0..*BackboneElementVariante 1: questa sezione presenta solo entry senza sottosezioni.
.... title 1..1stringLabel for section (e.g. for ToC)
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
.... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
.... entry 1..*Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)A reference to data that supports this section
... section:lab-subsections 0..*BackboneElementVariante 2: questa sezione presenta sottosezioni senza entry
.... title 1..1stringLabel for section (e.g. for ToC)
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
.... entry 0..0Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)
.... section 1..*BackboneElementSottosezione strutturata della sezione principale.
... section:annotations 0..*BackboneElementCommenti testuali
.... title 1..1stringLabel for section (e.g. for ToC)
.... code 1..1CodeableConceptClassification of section (recommended)
.... text 1..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.confidentialityrequiredConfidentiality
http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.section:lab-no-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionLabReportEuComposition Referto di Laboratorio
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeMetadato che indica la lingua utilizzata per descrivere la risorsa.
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Required Pattern: it-IT
... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... dataEnterer 0..*(Complex)Persona o dispositivo che trasforma un testo dettato nel documento FHIR.
URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierIdentificativo indipendente dalla versione.
... status ?!Σ1..1codeStato del Referto
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSReferto di Laboratorio
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient - Lab Report)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter - Lab Report)Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... date Σ1..1dateTimeData di modifica della risorsa Composition.
... author Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)Chi e/o cosa è l'autore del referto di laboratorio.
... title Σ1..1stringTitolo o nome human-readable della Composition.
Required Pattern: Referto di Laboratorio
... confidentiality Σ0..1codeCodice di confidenzialità della Composition.
Binding: Confidentiality (required)
... Slices for attester 1..*BackboneElementProfessionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento.
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1BackboneElementFirmatario del documento FHIR.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... time 1..1dateTimeRiferimento temporale della firma.
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al firmatario.
.... attester:authenticator 0..1BackboneElementValidatore del documento FHIR.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al validatore.
... custodian Σ0..1Reference(Organization - Lab Report)Organizzazione che si occupa della conservazione del documento FHIR.
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringTitolo della sezione.
..... code 1..1CodeableConceptIPSCodice della sezione.
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:lab-no-subsections C0..*BackboneElementVariante 1: questa sezione presenta solo entry senza sottosezioni.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
..... text C0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
..... entry C1..*Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)A reference to data that supports this section
.... section:lab-subsections C0..*BackboneElementVariante 2: questa sezione presenta sottosezioni senza 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
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
..... section C1..*BackboneElementSottosezione strutturata della sezione principale.
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
.... section:annotations C0..*BackboneElementCommenti testuali
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text C1..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredPattern: it-IT
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentialityrequiredConfidentiality
http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legalAuthenticator.moderequiredPattern: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:authenticator.moderequiredPattern: professional
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:lab-no-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionLabReportEuComposition Referto di Laboratorio
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeMetadato che indica la lingua utilizzata per descrivere la risorsa.
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Required Pattern: it-IT
... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... dataEnterer 0..*(Complex)Persona o dispositivo che trasforma un testo dettato nel documento FHIR.
URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierIdentificativo indipendente dalla versione.
... status ?!Σ1..1codeStato del Referto
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSReferto di Laboratorio
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient - Lab Report)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter - Lab Report)Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... date Σ1..1dateTimeData di modifica della risorsa Composition.
... author Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)Chi e/o cosa è l'autore del referto di laboratorio.
... title Σ1..1stringTitolo o nome human-readable della Composition.
Required Pattern: Referto di Laboratorio
... confidentiality Σ0..1codeCodice di confidenzialità della Composition.
Binding: Confidentiality (required)
... Slices for attester 1..*BackboneElementProfessionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento.
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the report was attested by the party
..... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the report
.... attester:legalAuthenticator 0..1BackboneElementFirmatario del documento FHIR.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... time 1..1dateTimeRiferimento temporale della firma.
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al firmatario.
.... attester:authenticator 0..1BackboneElementValidatore del documento FHIR.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... time 0..1dateTimeWhen the report was attested by the party
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al validatore.
... custodian Σ0..1Reference(Organization - Lab Report)Organizzazione che si occupa della conservazione del documento FHIR.
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe laboratory service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodPeriod of time covered by the documentation
.... detail Σ0..*Reference(Resource)The laboratory service(s) being documented
... Slices for section C1..*BackboneElementComposition 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringTitolo della sezione.
..... code 1..1CodeableConceptIPSCodice della sezione.
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:lab-no-subsections C0..*BackboneElementVariante 1: questa sezione presenta solo entry senza sottosezioni.
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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C1..*Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:lab-subsections C0..*BackboneElementVariante 2: questa sezione presenta sottosezioni senza 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
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C1..*BackboneElementSottosezione strutturata della sezione principale.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
...... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
...... text C0..1NarrativeText summary of the section, for human interpretation.
...... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

...... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

...... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
...... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:annotations C0..*BackboneElementCommenti testuali
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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C1..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredPattern: it-IT
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.extension:diagnosticReport-reference.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentialityrequiredConfidentiality
http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legalAuthenticator.moderequiredPattern: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:authenticator.moderequiredPattern: professional
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:lab-no-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-no-subsections.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:lab-no-subsections.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:lab-no-subsections.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:lab-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:lab-subsections.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:lab-subsections.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:lab-subsections.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:lab-subsections.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:annotations.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:annotations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:annotations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:annotations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
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()

Differential View

This structure is derived from CompositionLabReportEu

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionLabReportEuComposition Referto di Laboratorio
... language 1..1codeMetadato che indica la lingua utilizzata per descrivere la risorsa.
Required Pattern: it-IT
... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
... extension:information-recipient 0..*InformationRecipientProfessionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
... identifier 1..1IdentifierIdentificativo indipendente dalla versione.
... status 1..1codeStato del Referto
... type 1..1CodeableConceptIPSReferto di Laboratorio
... category 0..*CodeableConceptIPSReport Category
... subject 1..1Reference(Patient - Lab Report)Who and/or what this report is about
... encounter 0..1Reference(Encounter - Lab Report)Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... date 1..1dateTimeData di modifica della risorsa Composition.
... author 1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)Chi e/o cosa è l'autore del referto di laboratorio.
... title 1..1stringTitolo o nome human-readable della Composition.
Required Pattern: Referto di Laboratorio
... confidentiality 0..1codeCodice di confidenzialità della Composition.
Binding: Confidentiality (required)
... Slices for attester 1..*BackboneElementProfessionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento.
Slice: Unordered, Open by value:mode
.... attester:legalAuthenticator 0..1BackboneElementFirmatario del documento FHIR.
..... mode 1..1codeThe type of attestation
Required Pattern: legal
..... time 1..1dateTimeRiferimento temporale della firma.
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al firmatario.
.... attester:authenticator 0..1BackboneElementValidatore del documento FHIR.
..... mode 1..1codeThe type of attestation
Required Pattern: professional
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al validatore.
... custodian 0..1Reference(Organization - Lab Report)Organizzazione che si occupa della conservazione del documento FHIR.
... section 1..*BackboneElementComposition is broken into sections
.... title 1..1stringTitolo della sezione.
.... code 1..1CodeableConceptIPSCodice della sezione.
... section:lab-no-subsections 0..*BackboneElementVariante 1: questa sezione presenta solo entry senza sottosezioni.
.... title 1..1stringLabel for section (e.g. for ToC)
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
.... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
.... entry 1..*Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)A reference to data that supports this section
... section:lab-subsections 0..*BackboneElementVariante 2: questa sezione presenta sottosezioni senza entry
.... title 1..1stringLabel for section (e.g. for ToC)
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
.... entry 0..0Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)
.... section 1..*BackboneElementSottosezione strutturata della sezione principale.
... section:annotations 0..*BackboneElementCommenti testuali
.... title 1..1stringLabel for section (e.g. for ToC)
.... code 1..1CodeableConceptClassification of section (recommended)
.... text 1..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.confidentialityrequiredConfidentiality
http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.section:lab-no-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionLabReportEuComposition Referto di Laboratorio
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeMetadato che indica la lingua utilizzata per descrivere la risorsa.
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Required Pattern: it-IT
... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... dataEnterer 0..*(Complex)Persona o dispositivo che trasforma un testo dettato nel documento FHIR.
URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierIdentificativo indipendente dalla versione.
... status ?!Σ1..1codeStato del Referto
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSReferto di Laboratorio
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient - Lab Report)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter - Lab Report)Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... date Σ1..1dateTimeData di modifica della risorsa Composition.
... author Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)Chi e/o cosa è l'autore del referto di laboratorio.
... title Σ1..1stringTitolo o nome human-readable della Composition.
Required Pattern: Referto di Laboratorio
... confidentiality Σ0..1codeCodice di confidenzialità della Composition.
Binding: Confidentiality (required)
... Slices for attester 1..*BackboneElementProfessionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento.
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1BackboneElementFirmatario del documento FHIR.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... time 1..1dateTimeRiferimento temporale della firma.
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al firmatario.
.... attester:authenticator 0..1BackboneElementValidatore del documento FHIR.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codeThe type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... party 0..1Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)Riferimento al validatore.
... custodian Σ0..1Reference(Organization - Lab Report)Organizzazione che si occupa della conservazione del documento FHIR.
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by exists:$this.section, exists:$this.entry
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringTitolo della sezione.
..... code 1..1CodeableConceptIPSCodice della sezione.
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... section:lab-no-subsections C0..*BackboneElementVariante 1: questa sezione presenta solo entry senza sottosezioni.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
..... text C0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
..... entry C1..*Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)A reference to data that supports this section
.... section:lab-subsections C0..*BackboneElementVariante 2: questa sezione presenta sottosezioni senza 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
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: Sezioni Composition Lab Report (preferred)
..... section C1..*BackboneElementSottosezione strutturata della sezione principale.
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... title 1..1stringLabel for section (e.g. for ToC)
...... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Laboratory Study Types (preferred)
...... entry C1..*Reference(Observation Results: laboratory)A reference to data that supports this section
.... section:annotations C0..*BackboneElementCommenti testuali
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48767-8
..... text C1..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredPattern: it-IT
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentialityrequiredConfidentiality
http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legalAuthenticator.moderequiredPattern: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:authenticator.moderequiredPattern: professional
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:lab-no-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.codepreferredVsSezioniRefertoLaboratorio
http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio
from this IG
Composition.section:lab-subsections.section.codepreferredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionLabReportEuComposition Referto di Laboratorio
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 1..1codeMetadato che indica la lingua utilizzata per descrivere la risorsa.
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Required Pattern: it-IT
... text 0..1NarrativeSintesi testuale della sezione, per l'interpretazione dell'utente.
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... basedOn-order-or-requisition 0..*Identifier, Reference(ServiceRequest)Document Based On Order
URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
.... Slices for value[x] 0..1Reference(ServiceRequest)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(ServiceRequest: Laboratory Order)Value of extension
... information-recipient 0..*Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/StructureDefinition/information-recipient"
.... value[x] 0..1Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)Value of extension
... diagnosticReport-reference 0..1Reference(DiagnosticReport)Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
.... value[x] 1..1Reference(DiagnosticReport: Laboratory Report)Value of extension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... dataEnterer 0..*(Complex)Persona o dispositivo che trasforma un testo dettato nel documento FHIR.
URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierIdentificativo indipendente dalla versione.
... status ?!Σ1..1codeStato del Referto
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1CodeableConceptIPSReferto di Laboratorio
Binding: Laboratory Report Types (preferred)
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


.... category:studyType Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... subject Σ1..1Reference(Patient - Lab Report)Who and/or what this report is about
... encounter Σ0..1Reference(Encounter - Lab Report)Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... date Σ1..1dateTimeData di modifica della risorsa Composition.
... author Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)Chi e/o cosa è l'autore del referto di laboratorio.
..