Breast Radiology Reporting - 1st for comment ballot

This page is part of the Breast Radiology Report (v0.1.0: Comment Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

BreastRadiologyDocument

 

The official URL for this profile is: 

http://hl7.org/fhir/us/breast-radiology/StructureDefinition/breastrad-BreastRadiologyDocument

Breast Radiology Document. This Composition contains the details of a specific Breast Radiology Report.

This profile builds on Composition.

This profile was published on Fri Aug 02 00:00:00 EDT 2019 as a draft by Hl7 - Clinical Interoperability Council.

Summary

Mandatory: 0 element (17 nested mandatory elements)
Fixed Value: 21 elements
Prohibited: 18 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.type.coding is sliced based on the value of value:code
  • The element Composition.section is sliced based on the value of value:code
  • The element Composition.section.code.coding is sliced based on the value of value:code

Mapping Source

This structure represents the following mapping definition:

breastrad.BreastRadiologyDocument maps to Composition:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  Status maps to status
  Type maps to type
  Category maps to category
  FocalSubject maps to subject
  CareContext maps to encounter
  StatementDateTime maps to date
  Author maps to author
  Title maps to title
  ConfidentialityCode maps to confidentiality
  Attestation.AttestationMode maps to attester.mode
  Attestation.CreationDateTime maps to attester.time
  Attestation.Attester maps to attester.party
  ManagingOrganization maps to custodian
  RelatedDocument.Relationship maps to relatesTo.code
  RelatedDocument.TargetDocument maps to relatesTo.target[x]
  EventContext.Code maps to event.code
  EventContext.TimePeriod maps to event.period
  EventContext.SupportingInformation maps to event.detail
  Section maps to section (slice on = code; slice strategy = includes)
  Section.Title maps to section.title
  Section.Code maps to section.code
  Section.Author maps to section.author
  Section.FocalSubject maps to section.focus
  Section.Narrative maps to section.text
  Section.Type maps to section.mode
  Section.SortOrder maps to section.orderedBy // terrible FHIR name!
  Section.Resource maps to section.entry  (slice on = reference.resolve(); slice on type = profile; slice strategy = includes)
  Section.EmptyReason maps to section.emptyReason
  Section.Section maps to section.section
  Findings.Section maps to section.section ($this.resolve().code.coding.code; slice strategy = includes)
  Section.Section.Title maps to section.section.title
  Section.Section.Code maps to section.section.code
  Section.Section.Author maps to section.section.author
  Section.Section.FocalSubject maps to section.section.focus
  Section.Section.Narrative maps to section.section.text
  Section.Section.Type maps to section.section.mode
  Section.Section.SortOrder maps to section.section.orderedBy
  Section.Section.Resource maps to section.section.entry
  Section.Section.EmptyReason maps to section.section.emptyReason
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition breastrad-BreastRadiologyDocument
... extension 2..*Slice: Unordered, Open by value:url
... summarybiradcode 1..1SummaryBiRadCode
... breastexamtechnique 1..*BreastExamTechnique
... type
.... coding (Slice Definition)Slice: Unordered, Open by value:code
..... Fixed_10193-1 Σ1..1CodingCode defined by a terminology system
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 10193-1
... category 0..1
... subject 1..1
... encounter Reference(US Core Encounter Profile)
... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
... title Fixed Value: Breast Radiology Document
... attester
.... party Reference(US Core Patient Profile | US Core Practitioner Profile | RelatedPerson | US Core Organization Profile | US Core PractitionerRole Profile)
... custodian Reference(US Core Organization Profile)
... relatesTo
.... target[x]
..... targetIdentifierIdentifier
..... targetReferenceReference(StructureDefinition-obf-Composition.html)
... section (Slice Definition)Slice: Unordered, Open by value:code
.... (All Slices) Content/Rules for all slices
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
.... breastrad-PatientHistory 0..1PatientHistory: Patient History Section
..... title Fixed Value: Patient History
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_34117-2 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 34117-2
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... section 0..0
.... breastrad-Findings 0..1Findings: Findings section
..... title Fixed Value: Findings
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_32422-8 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 32422-8
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry 0..0
.... breastrad-Impressions 0..1Impressions: Clinical Impressions Section
..... title Fixed Value: Impressions
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_19005-8 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 19005-8
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-Condition)A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble
..... section 0..0
.... breastrad-Recommendations 0..1Recommendations: Recommendations Section
..... title Fixed Value: Recommendations
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_18783-1 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 18783-1
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-ActionRequest)Abstract class representing a request for any type of action to be performed
..... section 0..0
.... breastrad-PatientRisk 0..1PatientRisk: Patient Risk Section
..... title Fixed Value: Patient Rick
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 76546-1
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... section 0..0
.... breastrad-PriorReports 0..1PriorReports: Prior Report Section
..... title Fixed Value: Prior Reports
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 76546-1
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(breastrad-BreastRadiologyReport)Breast Radiology Diagnostic Report
..... section 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition I0..*breastrad-BreastRadiologyDocument
... 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 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 2..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... summarybiradcode 1..1SummaryBiRadCode
... breastexamtechnique 1..*BreastExamTechnique
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... Fixed_10193-1 Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 10193-1
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... category Σ0..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject Σ1..1Reference(Resource)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
Fixed Value: Breast Radiology Document
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required)
... attester I0..*BackboneElementAttests to accuracy of composition
.... 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..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(US Core Patient Profile | US Core Practitioner Profile | RelatedPerson | US Core Organization Profile | US Core PractitionerRole Profile)Who attested the composition
... custodian Σ0..1Reference(US Core Organization Profile)Organization which maintains the composition
... relatesTo I0..*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)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(StructureDefinition-obf-Composition.html)
... event ΣI0..*BackboneElementThe clinical 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 event being documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
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
.... (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 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)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 I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*BackboneElementNested Section
...... 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 0..1stringLabel for section (e.g. for ToC)
...... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... 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 I0..1NarrativeText summary of the section, for human interpretation
...... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
...... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
...... entry I0..*Reference(Resource)A reference to data that supports this section
...... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... section I0..*Unknown reference to #Composition.section
Nested Section
.... breastrad-PatientHistory I0..1BackboneElementPatientHistory: Patient History Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Patient History
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_34117-2 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 34117-2
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-Findings I0..1BackboneElementFindings: Findings section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Findings
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_32422-8 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 32422-8
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*BackboneElementNested Section
...... 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 0..1stringLabel for section (e.g. for ToC)
...... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... 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 I0..1NarrativeText summary of the section, for human interpretation
...... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
...... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
...... entry I0..*Reference(Resource)A reference to data that supports this section
...... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... section I0..*Unknown reference to #Composition.section
Nested Section
.... breastrad-Impressions I0..1BackboneElementImpressions: Clinical Impressions Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Impressions
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_19005-8 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 19005-8
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-Condition)A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-Recommendations I0..1BackboneElementRecommendations: Recommendations Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Recommendations
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_18783-1 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 18783-1
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-ActionRequest)Abstract class representing a request for any type of action to be performed
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-PatientRisk I0..1BackboneElementPatientRisk: Patient Risk Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Patient Rick
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 76546-1
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-PriorReports I0..1BackboneElementPriorReports: Prior Report Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Prior Reports
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 76546-1
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(breastrad-BreastRadiologyReport)Breast Radiology Diagnostic Report
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)

doco Documentation for this format

Summary

Mandatory: 0 element (17 nested mandatory elements)
Fixed Value: 21 elements
Prohibited: 18 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.type.coding is sliced based on the value of value:code
  • The element Composition.section is sliced based on the value of value:code
  • The element Composition.section.code.coding is sliced based on the value of value:code

Mapping Source

This structure represents the following mapping definition:

breastrad.BreastRadiologyDocument maps to Composition:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  Status maps to status
  Type maps to type
  Category maps to category
  FocalSubject maps to subject
  CareContext maps to encounter
  StatementDateTime maps to date
  Author maps to author
  Title maps to title
  ConfidentialityCode maps to confidentiality
  Attestation.AttestationMode maps to attester.mode
  Attestation.CreationDateTime maps to attester.time
  Attestation.Attester maps to attester.party
  ManagingOrganization maps to custodian
  RelatedDocument.Relationship maps to relatesTo.code
  RelatedDocument.TargetDocument maps to relatesTo.target[x]
  EventContext.Code maps to event.code
  EventContext.TimePeriod maps to event.period
  EventContext.SupportingInformation maps to event.detail
  Section maps to section (slice on = code; slice strategy = includes)
  Section.Title maps to section.title
  Section.Code maps to section.code
  Section.Author maps to section.author
  Section.FocalSubject maps to section.focus
  Section.Narrative maps to section.text
  Section.Type maps to section.mode
  Section.SortOrder maps to section.orderedBy // terrible FHIR name!
  Section.Resource maps to section.entry  (slice on = reference.resolve(); slice on type = profile; slice strategy = includes)
  Section.EmptyReason maps to section.emptyReason
  Section.Section maps to section.section
  Findings.Section maps to section.section ($this.resolve().code.coding.code; slice strategy = includes)
  Section.Section.Title maps to section.section.title
  Section.Section.Code maps to section.section.code
  Section.Section.Author maps to section.section.author
  Section.Section.FocalSubject maps to section.section.focus
  Section.Section.Narrative maps to section.section.text
  Section.Section.Type maps to section.section.mode
  Section.Section.SortOrder maps to section.section.orderedBy
  Section.Section.Resource maps to section.section.entry
  Section.Section.EmptyReason maps to section.section.emptyReason

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition breastrad-BreastRadiologyDocument
... extension 2..*Slice: Unordered, Open by value:url
... summarybiradcode 1..1SummaryBiRadCode
... breastexamtechnique 1..*BreastExamTechnique
... type
.... coding (Slice Definition)Slice: Unordered, Open by value:code
..... Fixed_10193-1 Σ1..1CodingCode defined by a terminology system
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 10193-1
... category 0..1
... subject 1..1
... encounter Reference(US Core Encounter Profile)
... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
... title Fixed Value: Breast Radiology Document
... attester
.... party Reference(US Core Patient Profile | US Core Practitioner Profile | RelatedPerson | US Core Organization Profile | US Core PractitionerRole Profile)
... custodian Reference(US Core Organization Profile)
... relatesTo
.... target[x]
..... targetIdentifierIdentifier
..... targetReferenceReference(StructureDefinition-obf-Composition.html)
... section (Slice Definition)Slice: Unordered, Open by value:code
.... (All Slices) Content/Rules for all slices
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
.... breastrad-PatientHistory 0..1PatientHistory: Patient History Section
..... title Fixed Value: Patient History
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_34117-2 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 34117-2
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... section 0..0
.... breastrad-Findings 0..1Findings: Findings section
..... title Fixed Value: Findings
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_32422-8 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 32422-8
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry 0..0
.... breastrad-Impressions 0..1Impressions: Clinical Impressions Section
..... title Fixed Value: Impressions
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_19005-8 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 19005-8
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-Condition)A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble
..... section 0..0
.... breastrad-Recommendations 0..1Recommendations: Recommendations Section
..... title Fixed Value: Recommendations
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_18783-1 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 18783-1
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-ActionRequest)Abstract class representing a request for any type of action to be performed
..... section 0..0
.... breastrad-PatientRisk 0..1PatientRisk: Patient Risk Section
..... title Fixed Value: Patient Rick
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 76546-1
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... section 0..0
.... breastrad-PriorReports 0..1PriorReports: Prior Report Section
..... title Fixed Value: Prior Reports
..... code
...... coding (Slice Definition)Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 76546-1
..... author Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)
..... focus 0..0
..... orderedBy 0..0
..... entry Reference(breastrad-BreastRadiologyReport)Breast Radiology Diagnostic Report
..... section 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition I0..*breastrad-BreastRadiologyDocument
... 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 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 2..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... summarybiradcode 1..1SummaryBiRadCode
... breastexamtechnique 1..*BreastExamTechnique
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... Fixed_10193-1 Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 10193-1
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... category Σ0..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject Σ1..1Reference(Resource)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
Fixed Value: Breast Radiology Document
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required)
... attester I0..*BackboneElementAttests to accuracy of composition
.... 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..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(US Core Patient Profile | US Core Practitioner Profile | RelatedPerson | US Core Organization Profile | US Core PractitionerRole Profile)Who attested the composition
... custodian Σ0..1Reference(US Core Organization Profile)Organization which maintains the composition
... relatesTo I0..*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)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(StructureDefinition-obf-Composition.html)
... event ΣI0..*BackboneElementThe clinical 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 event being documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
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
.... (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 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)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 I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*BackboneElementNested Section
...... 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 0..1stringLabel for section (e.g. for ToC)
...... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... 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 I0..1NarrativeText summary of the section, for human interpretation
...... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
...... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
...... entry I0..*Reference(Resource)A reference to data that supports this section
...... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... section I0..*Unknown reference to #Composition.section
Nested Section
.... breastrad-PatientHistory I0..1BackboneElementPatientHistory: Patient History Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Patient History
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_34117-2 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 34117-2
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-Findings I0..1BackboneElementFindings: Findings section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Findings
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_32422-8 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 32422-8
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*BackboneElementNested Section
...... 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 0..1stringLabel for section (e.g. for ToC)
...... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... 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 I0..1NarrativeText summary of the section, for human interpretation
...... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
...... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
...... entry I0..*Reference(Resource)A reference to data that supports this section
...... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... section I0..*Unknown reference to #Composition.section
Nested Section
.... breastrad-Impressions I0..1BackboneElementImpressions: Clinical Impressions Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Impressions
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_19005-8 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 19005-8
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-Condition)A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-Recommendations I0..1BackboneElementRecommendations: Recommendations Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Recommendations
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_18783-1 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 18783-1
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-ActionRequest)Abstract class representing a request for any type of action to be performed
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-PatientRisk I0..1BackboneElementPatientRisk: Patient Risk Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Patient Rick
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 76546-1
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(obf-Observation)Represents the result of evaluations (measurements, tests, or questions) that have been performed
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... breastrad-PriorReports I0..1BackboneElementPriorReports: Prior Report Section
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 0..1stringLabel for section (e.g. for ToC)
Fixed Value: Prior Reports
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... Fixed_76546-1 Σ1..1CodingCode defined by a terminology system
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 76546-1
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... author 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Device Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Who and/or what authored the section
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... entry I0..*Reference(breastrad-BreastRadiologyReport)Breast Radiology Diagnostic Report
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathConformanceValueSet
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredFHIRDocumentTypeCodes
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexamplev3.ActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section.section.codeexampleDocumentSectionCodes
Composition.section.section.moderequiredListMode
Composition.section.section.orderedBypreferredListOrderCodes
Composition.section.section.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-PatientHistory.codeexampleDocumentSectionCodes
Composition.section:breastrad-PatientHistory.moderequiredListMode
Composition.section:breastrad-PatientHistory.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-PatientHistory.section.codeexampleDocumentSectionCodes
Composition.section:breastrad-PatientHistory.section.moderequiredListMode
Composition.section:breastrad-PatientHistory.section.orderedBypreferredListOrderCodes
Composition.section:breastrad-PatientHistory.section.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-Findings.codeexampleDocumentSectionCodes
Composition.section:breastrad-Findings.moderequiredListMode
Composition.section:breastrad-Findings.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-Findings.section.codeexampleDocumentSectionCodes
Composition.section:breastrad-Findings.section.moderequiredListMode
Composition.section:breastrad-Findings.section.orderedBypreferredListOrderCodes
Composition.section:breastrad-Findings.section.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-Impressions.codeexampleDocumentSectionCodes
Composition.section:breastrad-Impressions.moderequiredListMode
Composition.section:breastrad-Impressions.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-Impressions.section.codeexampleDocumentSectionCodes
Composition.section:breastrad-Impressions.section.moderequiredListMode
Composition.section:breastrad-Impressions.section.orderedBypreferredListOrderCodes
Composition.section:breastrad-Impressions.section.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-Recommendations.codeexampleDocumentSectionCodes
Composition.section:breastrad-Recommendations.moderequiredListMode
Composition.section:breastrad-Recommendations.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-Recommendations.section.codeexampleDocumentSectionCodes
Composition.section:breastrad-Recommendations.section.moderequiredListMode
Composition.section:breastrad-Recommendations.section.orderedBypreferredListOrderCodes
Composition.section:breastrad-Recommendations.section.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-PatientRisk.codeexampleDocumentSectionCodes
Composition.section:breastrad-PatientRisk.moderequiredListMode
Composition.section:breastrad-PatientRisk.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-PatientRisk.section.codeexampleDocumentSectionCodes
Composition.section:breastrad-PatientRisk.section.moderequiredListMode
Composition.section:breastrad-PatientRisk.section.orderedBypreferredListOrderCodes
Composition.section:breastrad-PatientRisk.section.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-PriorReports.codeexampleDocumentSectionCodes
Composition.section:breastrad-PriorReports.moderequiredListMode
Composition.section:breastrad-PriorReports.emptyReasonpreferredListEmptyReasons
Composition.section:breastrad-PriorReports.section.codeexampleDocumentSectionCodes
Composition.section:breastrad-PriorReports.section.moderequiredListMode
Composition.section:breastrad-PriorReports.section.orderedBypreferredListOrderCodes
Composition.section:breastrad-PriorReports.section.emptyReasonpreferredListEmptyReasons

 

Constraints

IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4CompositionIf 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-3CompositionIf 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-6CompositionA resource should have narrative for robust management
: text.div.exists()
dom-5CompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
ele-1Composition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()