
NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.
StructureDefinition-DiagnosticReportRecord
This profile sets minimum expectations for the DiagnosticReportRecord that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation to a Diagnostic Report of a patient. It identifies the mandatory core elements, vocabularies and value sets which SHALL be present in the Composition resource when using this profile.
Examples
- Bundle-DiagnosticReport-Imaging-DCM-example-01
- Bundle-DiagnosticReport-Imaging-Media-example-02
- Bundle-DiagnosticReport-Lab-example-03
Formal Views of Profile Content
Description of Profiles, Differentials, and Snapshots.
The official URL for this profile is:
https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord
This profile builds on Composition
Summary
Mandatory: 8 elements (6 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 4 elements
Structures
This structure refers to these other structures:
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
Slices
This structure defines the following Slices:
- The element Composition.section.entry is sliced based on the value of value:type (Closed)
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation / a set of resources composed to define the diagnostic report record. | |
![]() ![]() ![]() | S | 1..1 | code | preliminary | final | amended | entered-in-error |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Kind of composition (SNOMED CT if possible) Binding: Diagnostic Report Type (preferred) |
![]() ![]() ![]() ![]() | 1..1 | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() ![]() | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() | S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() | S | 1..1 | Reference(Patient) | Who and/or what the composition is about |
![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() | 0..1 | Reference(Encounter) | Context of the Composition | |
![]() ![]() ![]() | S | 1..* | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Who and/or what authored the composition |
![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() | S | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() ![]() | 0..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who attested the composition | |
![]() ![]() ![]() | 0..1 | Reference(Organization) | Organization which maintains the composition | |
![]() ![]() ![]() | S | 1..1 | BackboneElement | Composition is broken into sections |
![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() | S | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() ![]() | S | 1..2 | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Closed by value:type |
![]() ![]() ![]() ![]() ![]() | 0..1 | Reference(DiagnosticReportLab | DiagnosticReportImaging) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Type the reference refers to (e.g. "Patient") Fixed Value: DiagnosticReport | |
![]() ![]() ![]() ![]() ![]() | 0..1 | Reference(DocumentReference) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Type the reference refers to (e.g. "Patient") Fixed Value: DocumentReference | |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | I | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation / a set of resources composed to define the diagnostic report record. |
![]() ![]() ![]() | Σ | 0..1 | string | Logical id of this artifact |
![]() ![]() ![]() | ΣI | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() | ?!I | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ΣI | 0..1 | Identifier | Version-independent identifier for the Composition |
![]() ![]() ![]() | ?!SΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
![]() ![]() ![]() | SΣI | 1..1 | CodeableConcept | Kind of composition (SNOMED CT if possible) Binding: Diagnostic Report Type (preferred) |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() | ΣI | 1..1 | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() ![]() | SΣI | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
![]() ![]() ![]() | SΣI | 1..1 | Reference(Patient) | Who and/or what the composition is about |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() | ΣI | 0..1 | Reference(Encounter) | Context of the Composition |
![]() ![]() ![]() | ΣI | 1..1 | dateTime | Composition editing time |
![]() ![]() ![]() | SΣI | 1..* | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Who and/or what authored the composition |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() | ΣI | 1..1 | string | Human Readable name/title |
![]() ![]() ![]() | ΣI | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
![]() ![]() ![]() | SI | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | I | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
![]() ![]() ![]() ![]() | I | 0..1 | dateTime | When the composition was attested |
![]() ![]() ![]() ![]() | I | 0..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who attested the composition |
![]() ![]() ![]() | ΣI | 0..1 | Reference(Organization) | Organization which maintains the composition |
![]() ![]() ![]() | I | 0..* | BackboneElement | Relationships to other compositions/documents |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | I | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
![]() ![]() ![]() ![]() | I | 1..1 | Target of the relationship | |
![]() ![]() ![]() ![]() ![]() | Identifier | |||
![]() ![]() ![]() ![]() ![]() | Reference(Composition) | |||
![]() ![]() ![]() | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | ΣI | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
![]() ![]() ![]() ![]() | ΣI | 0..1 | Period | The period covered by the documentation |
![]() ![]() ![]() ![]() | ΣI | 0..* | Reference(Resource) | The event(s) being documented |
![]() ![]() ![]() | SI | 1..1 | BackboneElement | Composition is broken into sections |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | I | 0..1 | string | Label for section (e.g. for ToC) |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() | SΣI | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() ![]() ![]() | SΣI | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() ![]() | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
![]() ![]() ![]() ![]() | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
![]() ![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
![]() ![]() ![]() ![]() | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
![]() ![]() ![]() ![]() | SI | 1..2 | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Closed by value:type |
![]() ![]() ![]() ![]() ![]() | I | 0..1 | Reference(DiagnosticReportLab | DiagnosticReportImaging) | A reference to data that supports this section |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Fixed Value: DiagnosticReport |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() ![]() ![]() | I | 0..1 | Reference(DocumentReference) | A reference to data that supports this section |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Fixed Value: DocumentReference |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
![]() ![]() ![]() ![]() | I | 0..* | See section | Nested Section |
![]() |
Summary
Mandatory: 8 elements (6 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 4 elements
Structures
This structure refers to these other structures:
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
Slices
This structure defines the following Slices:
- The element Composition.section.entry is sliced based on the value of value:type (Closed)
Differential View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation / a set of resources composed to define the diagnostic report record. | |
![]() ![]() ![]() | S | 1..1 | code | preliminary | final | amended | entered-in-error |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Kind of composition (SNOMED CT if possible) Binding: Diagnostic Report Type (preferred) |
![]() ![]() ![]() ![]() | 1..1 | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() ![]() | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() | S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() | S | 1..1 | Reference(Patient) | Who and/or what the composition is about |
![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() | 0..1 | Reference(Encounter) | Context of the Composition | |
![]() ![]() ![]() | S | 1..* | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Who and/or what authored the composition |
![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() | S | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() ![]() | 0..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who attested the composition | |
![]() ![]() ![]() | 0..1 | Reference(Organization) | Organization which maintains the composition | |
![]() ![]() ![]() | S | 1..1 | BackboneElement | Composition is broken into sections |
![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() | S | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() ![]() | S | 1..2 | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Closed by value:type |
![]() ![]() ![]() ![]() ![]() | 0..1 | Reference(DiagnosticReportLab | DiagnosticReportImaging) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Type the reference refers to (e.g. "Patient") Fixed Value: DiagnosticReport | |
![]() ![]() ![]() ![]() ![]() | 0..1 | Reference(DocumentReference) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Type the reference refers to (e.g. "Patient") Fixed Value: DocumentReference | |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | I | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation / a set of resources composed to define the diagnostic report record. |
![]() ![]() ![]() | Σ | 0..1 | string | Logical id of this artifact |
![]() ![]() ![]() | ΣI | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() | ?!I | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ΣI | 0..1 | Identifier | Version-independent identifier for the Composition |
![]() ![]() ![]() | ?!SΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
![]() ![]() ![]() | SΣI | 1..1 | CodeableConcept | Kind of composition (SNOMED CT if possible) Binding: Diagnostic Report Type (preferred) |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() | ΣI | 1..1 | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() ![]() | SΣI | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
![]() ![]() ![]() | SΣI | 1..1 | Reference(Patient) | Who and/or what the composition is about |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() | ΣI | 0..1 | Reference(Encounter) | Context of the Composition |
![]() ![]() ![]() | ΣI | 1..1 | dateTime | Composition editing time |
![]() ![]() ![]() | SΣI | 1..* | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Who and/or what authored the composition |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() | ΣI | 1..1 | string | Human Readable name/title |
![]() ![]() ![]() | ΣI | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
![]() ![]() ![]() | SI | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | I | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
![]() ![]() ![]() ![]() | I | 0..1 | dateTime | When the composition was attested |
![]() ![]() ![]() ![]() | I | 0..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who attested the composition |
![]() ![]() ![]() | ΣI | 0..1 | Reference(Organization) | Organization which maintains the composition |
![]() ![]() ![]() | I | 0..* | BackboneElement | Relationships to other compositions/documents |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | I | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
![]() ![]() ![]() ![]() | I | 1..1 | Target of the relationship | |
![]() ![]() ![]() ![]() ![]() | Identifier | |||
![]() ![]() ![]() ![]() ![]() | Reference(Composition) | |||
![]() ![]() ![]() | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | ΣI | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
![]() ![]() ![]() ![]() | ΣI | 0..1 | Period | The period covered by the documentation |
![]() ![]() ![]() ![]() | ΣI | 0..* | Reference(Resource) | The event(s) being documented |
![]() ![]() ![]() | SI | 1..1 | BackboneElement | Composition is broken into sections |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations |
![]() ![]() ![]() ![]() | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | I | 0..1 | string | Label for section (e.g. for ToC) |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() | SΣI | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() ![]() ![]() | SΣI | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() ![]() | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
![]() ![]() ![]() ![]() | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
![]() ![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
![]() ![]() ![]() ![]() | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
![]() ![]() ![]() ![]() | SI | 1..2 | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Closed by value:type |
![]() ![]() ![]() ![]() ![]() | I | 0..1 | Reference(DiagnosticReportLab | DiagnosticReportImaging) | A reference to data that supports this section |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Fixed Value: DiagnosticReport |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() ![]() ![]() | I | 0..1 | Reference(DocumentReference) | A reference to data that supports this section |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Fixed Value: DocumentReference |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() ![]() ![]() | ΣI | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
![]() ![]() ![]() ![]() | I | 0..* | See section | Nested Section |
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Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron