This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.2.0: Release 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Composition - Lab Report

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

Usage:

• Use this Resource Profile: Bundle - Lab Report
• Refer to this Resource Profile: DiagnosticReport - Lab Report
• Examples for this Resource Profile: Composition/2ae95a5c-9094-41a3-a437-ce6d34c55a54

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CompositionLabReportEu

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Composition Referto di Laboratorio
language		1..1	code	Metadato che indica la lingua utilizzata per descrivere la risorsa. Required Pattern: it-IT
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
extension:information-recipient		0..*	InformationRecipient	Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
dataEnterer		0..*	(Complex)	Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
identifier		1..1	Identifier	Identificativo indipendente dalla versione.
status		1..1	code	Stato del Referto
type		1..1	CodeableConceptIPS	Referto di Laboratorio
category		0..*	CodeableConceptIPS	Report Category
subject		1..1	Reference(Patient - Lab Report)	Who and/or what this report is about
encounter		0..1	Reference(Encounter - Lab Report)	Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
date		1..1	dateTime	Data di modifica della risorsa Composition.
author		1..*	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)	Chi e/o cosa è l'autore del referto di laboratorio.
title		1..1	string	Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio
confidentiality		0..1	code	Codice di confidenzialità della Composition. Binding: Confidentiality (required)
Slices for attester		1..*	BackboneElement	Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode
attester:legalAuthenticator		0..1	BackboneElement	Firmatario del documento FHIR.
mode		1..1	code	The type of attestation Required Pattern: legal
time		1..1	dateTime	Riferimento temporale della firma.
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al firmatario.
attester:authenticator		0..1	BackboneElement	Validatore del documento FHIR.
mode		1..1	code	The type of attestation Required Pattern: professional
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al validatore.
custodian		0..1	Reference(Organization - Lab Report)	Organizzazione che si occupa della conservazione del documento FHIR.
section		1..*	BackboneElement	Composition is broken into sections
title		1..1	string	Titolo della sezione.
code		1..1	CodeableConceptIPS	Codice della sezione.
section:lab-no-subsections		0..*	BackboneElement	Variante 1: questa sezione presenta solo entry senza sottosezioni.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
entry		1..*	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)	A reference to data that supports this section
section:lab-subsections		0..*	BackboneElement	Variante 2: questa sezione presenta sottosezioni senza entry
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
entry		0..0	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)
section		1..*	BackboneElement	Sottosezione strutturata della sezione principale.
section:annotations		0..*	BackboneElement	Commenti testuali
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended)
text		1..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.confidentiality	required	Confidentiality http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.section:lab-no-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Composition Referto di Laboratorio
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Required Pattern: it-IT
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
basedOn-order-or-requisition		0..*	Identifier, Reference(ServiceRequest)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference(ServiceRequest)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
diagnosticReport-reference		0..1	Reference(DiagnosticReport)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
dataEnterer		0..*	(Complex)	Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identificativo indipendente dalla versione.
status	?!Σ	1..1	code	Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Referto di Laboratorio Binding: Laboratory Report Types (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	Σ	1..1	Reference(Patient - Lab Report)	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter - Lab Report)	Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
date	Σ	1..1	dateTime	Data di modifica della risorsa Composition.
author	Σ	1..*	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)	Chi e/o cosa è l'autore del referto di laboratorio.
title	Σ	1..1	string	Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio
confidentiality	Σ	0..1	code	Codice di confidenzialità della Composition. Binding: Confidentiality (required)
Slices for attester		1..*	BackboneElement	Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legalAuthenticator		0..1	BackboneElement	Firmatario del documento FHIR.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	Riferimento temporale della firma.
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al firmatario.
attester:authenticator		0..1	BackboneElement	Validatore del documento FHIR.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al validatore.
custodian	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione che si occupa della conservazione del documento FHIR.
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Titolo della sezione.
code		1..1	CodeableConceptIPS	Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:lab-no-subsections	C	0..*	BackboneElement	Variante 1: questa sezione presenta solo entry senza sottosezioni. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
text	C	0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
entry	C	1..*	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)	A reference to data that supports this section
section:lab-subsections	C	0..*	BackboneElement	Variante 2: questa sezione presenta sottosezioni senza entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
section	C	1..*	BackboneElement	Sottosezione strutturata della sezione principale.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred)
entry	C	1..*	Reference(Observation Results: laboratory)	A reference to data that supports this section
section:annotations	C	0..*	BackboneElement	Commenti testuali cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text	C	1..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Pattern: it-IT Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentiality	required	Confidentiality http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:authenticator.mode	required	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:lab-no-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:annotations.code	example	Pattern: LOINC code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Composition Referto di Laboratorio
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Required Pattern: it-IT
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
basedOn-order-or-requisition		0..*	Identifier, Reference(ServiceRequest)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference(ServiceRequest)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)	Value of extension
diagnosticReport-reference		0..1	Reference(DiagnosticReport)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
dataEnterer		0..*	(Complex)	Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identificativo indipendente dalla versione.
status	?!Σ	1..1	code	Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Referto di Laboratorio Binding: Laboratory Report Types (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	Σ	1..1	Reference(Patient - Lab Report)	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter - Lab Report)	Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
date	Σ	1..1	dateTime	Data di modifica della risorsa Composition.
author	Σ	1..*	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)	Chi e/o cosa è l'autore del referto di laboratorio.
title	Σ	1..1	string	Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio
confidentiality	Σ	0..1	code	Codice di confidenzialità della Composition. Binding: Confidentiality (required)
Slices for attester		1..*	BackboneElement	Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the report
attester:legalAuthenticator		0..1	BackboneElement	Firmatario del documento FHIR.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	Riferimento temporale della firma.
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al firmatario.
attester:authenticator		0..1	BackboneElement	Validatore del documento FHIR.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al validatore.
custodian	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione che si occupa della conservazione del documento FHIR.
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The laboratory service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Titolo della sezione.
code		1..1	CodeableConceptIPS	Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:lab-no-subsections	C	0..*	BackboneElement	Variante 1: questa sezione presenta solo entry senza sottosezioni. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:lab-subsections	C	0..*	BackboneElement	Variante 2: questa sezione presenta sottosezioni senza entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	1..*	BackboneElement	Sottosezione strutturata della sezione principale.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation Results: laboratory)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotations	C	0..*	BackboneElement	Commenti testuali cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Pattern: it-IT Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.extension:diagnosticReport-reference.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentiality	required	Confidentiality http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:authenticator.mode	required	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-no-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-no-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-no-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-no-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:annotations.code	example	Pattern: LOINC code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:annotations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:annotations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CompositionLabReportEu

Summary

Mandatory: 3 elements (7 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
• Encounter - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/encounter-it-lab)
• Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
• PractitionerRole - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-it-lab)
• Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)
• Observation - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab)
• Observation battery - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-grouping-it-lab)
• Observation Document - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-doc-it-lab)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it

Slices

This structure defines the following Slices:

• The element Composition.attester is sliced based on the value of value:mode

Maturity: 1

Differential View

This structure is derived from CompositionLabReportEu

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Composition Referto di Laboratorio
language		1..1	code	Metadato che indica la lingua utilizzata per descrivere la risorsa. Required Pattern: it-IT
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
extension:information-recipient		0..*	InformationRecipient	Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS).
dataEnterer		0..*	(Complex)	Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
identifier		1..1	Identifier	Identificativo indipendente dalla versione.
status		1..1	code	Stato del Referto
type		1..1	CodeableConceptIPS	Referto di Laboratorio
category		0..*	CodeableConceptIPS	Report Category
subject		1..1	Reference(Patient - Lab Report)	Who and/or what this report is about
encounter		0..1	Reference(Encounter - Lab Report)	Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
date		1..1	dateTime	Data di modifica della risorsa Composition.
author		1..*	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)	Chi e/o cosa è l'autore del referto di laboratorio.
title		1..1	string	Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio
confidentiality		0..1	code	Codice di confidenzialità della Composition. Binding: Confidentiality (required)
Slices for attester		1..*	BackboneElement	Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode
attester:legalAuthenticator		0..1	BackboneElement	Firmatario del documento FHIR.
mode		1..1	code	The type of attestation Required Pattern: legal
time		1..1	dateTime	Riferimento temporale della firma.
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al firmatario.
attester:authenticator		0..1	BackboneElement	Validatore del documento FHIR.
mode		1..1	code	The type of attestation Required Pattern: professional
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al validatore.
custodian		0..1	Reference(Organization - Lab Report)	Organizzazione che si occupa della conservazione del documento FHIR.
section		1..*	BackboneElement	Composition is broken into sections
title		1..1	string	Titolo della sezione.
code		1..1	CodeableConceptIPS	Codice della sezione.
section:lab-no-subsections		0..*	BackboneElement	Variante 1: questa sezione presenta solo entry senza sottosezioni.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
entry		1..*	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)	A reference to data that supports this section
section:lab-subsections		0..*	BackboneElement	Variante 2: questa sezione presenta sottosezioni senza entry
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
entry		0..0	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)
section		1..*	BackboneElement	Sottosezione strutturata della sezione principale.
section:annotations		0..*	BackboneElement	Commenti testuali
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended)
text		1..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.confidentiality	required	Confidentiality http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.section:lab-no-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Composition Referto di Laboratorio
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Required Pattern: it-IT
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
basedOn-order-or-requisition		0..*	Identifier, Reference(ServiceRequest)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference(ServiceRequest)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
diagnosticReport-reference		0..1	Reference(DiagnosticReport)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
dataEnterer		0..*	(Complex)	Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identificativo indipendente dalla versione.
status	?!Σ	1..1	code	Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Referto di Laboratorio Binding: Laboratory Report Types (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	Σ	1..1	Reference(Patient - Lab Report)	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter - Lab Report)	Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
date	Σ	1..1	dateTime	Data di modifica della risorsa Composition.
author	Σ	1..*	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)	Chi e/o cosa è l'autore del referto di laboratorio.
title	Σ	1..1	string	Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio
confidentiality	Σ	0..1	code	Codice di confidenzialità della Composition. Binding: Confidentiality (required)
Slices for attester		1..*	BackboneElement	Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legalAuthenticator		0..1	BackboneElement	Firmatario del documento FHIR.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	Riferimento temporale della firma.
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al firmatario.
attester:authenticator		0..1	BackboneElement	Validatore del documento FHIR.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al validatore.
custodian	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione che si occupa della conservazione del documento FHIR.
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Titolo della sezione.
code		1..1	CodeableConceptIPS	Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:lab-no-subsections	C	0..*	BackboneElement	Variante 1: questa sezione presenta solo entry senza sottosezioni. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
text	C	0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
entry	C	1..*	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)	A reference to data that supports this section
section:lab-subsections	C	0..*	BackboneElement	Variante 2: questa sezione presenta sottosezioni senza entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
section	C	1..*	BackboneElement	Sottosezione strutturata della sezione principale.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred)
entry	C	1..*	Reference(Observation Results: laboratory)	A reference to data that supports this section
section:annotations	C	0..*	BackboneElement	Commenti testuali cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text	C	1..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Pattern: it-IT Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentiality	required	Confidentiality http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:authenticator.mode	required	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:lab-no-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:annotations.code	example	Pattern: LOINC code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionLabReportEu	Composition Referto di Laboratorio
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Metadato che indica la lingua utilizzata per descrivere la risorsa. Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Required Pattern: it-IT
text		0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
basedOn-order-or-requisition		0..*	Identifier, Reference(ServiceRequest)	Document Based On Order URL: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
Slices for value[x]		0..1	Reference(ServiceRequest)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference(ServiceRequest: Laboratory Order)	Value of extension
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS). URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner: Laboratory Report | Device | Patient: Person | RelatedPerson | PractitionerRole: Laboratory Report | Organization)	Value of extension
diagnosticReport-reference		0..1	Reference(DiagnosticReport)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference"
value[x]		1..1	Reference(DiagnosticReport: Laboratory Report)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
dataEnterer		0..*	(Complex)	Persona o dispositivo che trasforma un testo dettato nel documento FHIR. URL: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identificativo indipendente dalla versione.
status	?!Σ	1..1	code	Stato del Referto Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Referto di Laboratorio Binding: Laboratory Report Types (preferred)
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:studyType	Σ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
subject	Σ	1..1	Reference(Patient - Lab Report)	Who and/or what this report is about
encounter	Σ	0..1	Reference(Encounter - Lab Report)	Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
date	Σ	1..1	dateTime	Data di modifica della risorsa Composition.
author	Σ	1..*	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Patient - Lab Report | Organization - Lab Report)	Chi e/o cosa è l'autore del referto di laboratorio.
title	Σ	1..1	string	Titolo o nome human-readable della Composition. Required Pattern: Referto di Laboratorio
confidentiality	Σ	0..1	code	Codice di confidenzialità della Composition. Binding: Confidentiality (required)
Slices for attester		1..*	BackboneElement	Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento. Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the report
attester:legalAuthenticator		0..1	BackboneElement	Firmatario del documento FHIR.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	Riferimento temporale della firma.
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al firmatario.
attester:authenticator		0..1	BackboneElement	Validatore del documento FHIR.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		0..1	dateTime	When the report was attested by the party
party		0..1	Reference(Practitioner - Lab Report | PractitionerRole - Lab Report)	Riferimento al validatore.
custodian	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione che si occupa della conservazione del documento FHIR.
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The laboratory service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the laboratory service(s) being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Period of time covered by the documentation
detail	Σ	0..*	Reference(Resource)	The laboratory service(s) being documented
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by exists:$this.section, exists:$this.entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Titolo della sezione.
code		1..1	CodeableConceptIPS	Codice della sezione. Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:lab-no-subsections	C	0..*	BackboneElement	Variante 1: questa sezione presenta solo entry senza sottosezioni. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation - Lab Report | Observation battery - Lab Report | Observation Document - Lab Report)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:lab-subsections	C	0..*	BackboneElement	Variante 2: questa sezione presenta sottosezioni senza entry cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: Sezioni Composition Lab Report (preferred)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	1..*	BackboneElement	Sottosezione strutturata della sezione principale.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Laboratory Study Types (preferred)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation Results: laboratory)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotations	C	0..*	BackboneElement	Commenti testuali cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Sintesi testuale della sezione, per l'interpretazione dell'utente.
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Pattern: it-IT Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.extension:diagnosticReport-reference.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Composition.confidentiality	required	Confidentiality http://terminology.hl7.org/ValueSet/v3-Confidentiality
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Pattern: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:authenticator.mode	required	Pattern: professional http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-no-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-no-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-no-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-no-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.code	preferred	VsSezioniRefertoLaboratorio http://hl7.it/fhir/lab-report/ValueSet/sezione-referto-laboratorio from this IG
Composition.section:lab-subsections.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:lab-subsections.section.code	preferred	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Composition.section:lab-subsections.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:lab-subsections.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:lab-subsections.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:annotations.code	example	Pattern: LOINC code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:annotations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:annotations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:lab-no-subsections, Composition.section:lab-subsections, Composition.section:annotations	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CompositionLabReportEu

Summary

Mandatory: 3 elements (7 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
• Encounter - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/encounter-it-lab)
• Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
• PractitionerRole - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-it-lab)
• Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)
• Observation - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab)
• Observation battery - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-grouping-it-lab)
• Observation Document - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-doc-it-lab)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it

Slices

This structure defines the following Slices:

• The element Composition.attester is sliced based on the value of value:mode

Maturity: 1