HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

Resource Profile: Report_ImComposition - Detailed Descriptions

Draft as of 2025-07-02

Definitions for the Report-ImComposition resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Composition
Definition

Imaging Study Report composition.

A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement.

While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.

The text field of each section SHALL contain a textual representation of all listed entries.


A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

ShortImaging Report compositionA set of resources composed into a single coherent clinical statement with clinical attestation
Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Composition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Composition.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHALL be taken from AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0
(required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Obligations
    ObligationsActorDocumentation
    SHALL:populate-if-knownImaging study report provider

    EHDSImagingReportHeader.documentMetadata.language

    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Composition.contained
    Definition

    These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

    ShortContained, inline Resources
    Comments

    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

    Control0..*
    This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
    TypeResource
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Alternate Namesinline resources, anonymous resources, contained resources
    8. Composition.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control10..*
    TypeExtension
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Composition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 10. Composition.extension:basedOn
      Slice NamebasedOn
      Definition

      A plan, proposal or order that is fulfilled in whole or in part by this event.

      ShortFulfills plan, proposal or order
      Control0..*
      TypeExtension(Based on) (Extension Type: Reference(Resource))
      Is Modifierfalse
      Must Supportfalse
      Obligations
        ObligationsActorDocumentation
        SHALL:populate-if-knownImaging study report provider

        EHDSImagingReportHeader.healthInsuranceAndPaymentInformation, EHDSImagingReportHeader.documentMetadata.accessionNumber

        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        12. Composition.extension:informationRecipient
        Slice NameinformationRecipient
        Definition

        This extension applies to the Composition resource and is used to represent an intended recipient of the composition.

        ShortComposition: Information recipient
        Control0..*
        TypeExtension(Composition: Information recipient) (Extension Type: Reference(Practitioner, Device, Patient, RelatedPerson, PractitionerRole, Organization))
        Is Modifierfalse
        Must Supportfalse
        Obligations
          ObligationsActorDocumentation
          SHALL:populate-if-knownImaging study report provider

          EHDSImagingReportHeader.intendedRecipient

          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          14. Composition.extension:diagnosticreport-reference
          Slice Namediagnosticreport-reference
          Definition

          This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.

          ShortDocument DiagnosticReport Reference
          Control1..1
          TypeExtension(Document DiagnosticReport Reference) (Extension Type: Reference(Imaging Diagnostic Report))
          Is Modifierfalse
          Must Supportfalse
          Obligations
            ObligationsActorDocumentation
            SHALL:populate-if-knownImaging study report provider

            EHDSImagingReportHeader.

            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            16. Composition.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Must Supportfalse
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Composition.identifier
            Definition

            Identifiers assigned to this report by the performer or other systems. It shall be common to several report versions


            A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

            ShortReport identifierVersion-independent identifier for the Composition
            Comments

            Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists


            Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control10..*
            TypeIdentifier
            Is Modifierfalse
            Must Supportfalse
            Obligations
              ObligationsActorDocumentation
              SHALL:populate-if-knownImaging study report provider

              EHDSImagingReportBody.orderInformation.orderId, EHDSImagingReportHeader.documentMetadata.documentId

              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. Composition.version
              Definition

              An explicitly assigned identifer of a variation of the content in the Composition.

              ShortAn explicitly assigned identifer of a variation of the content in the Composition
              Comments

              While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.

              NoteThis is a business version Id, not a resource version Id (see discussion)
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Obligations
                ObligationsActorDocumentation
                SHALL:populate-if-knownImaging study report provider

                EHDSImagingReportHeader.documentMetadata.version

                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                22. Composition.status
                Definition

                The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                Shortregistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
                Comments

                If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                Control1..1
                BindingThe codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|5.0.0
                (required to http://hl7.org/fhir/ValueSet/composition-status|5.0.0)

                The workflow/clinical status of the composition.

                Typecode
                Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Obligations
                  ObligationsActorDocumentation
                  SHALL:populate-if-knownImaging study report provider

                  EHDSImagingReportHeader.documentMetadata.documentStatus

                  Summarytrue
                  Requirements

                  Need to be able to mark interim, amended, or withdrawn compositions or documents.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  24. Composition.type
                  Definition

                  Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

                  ShortKind of composition (LOINC if possible)
                  Comments

                  For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                  Control1..1
                  BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from HL7 EU Imaging Report Typeshttp://hl7.org/fhir/ValueSet/doc-typecodes
                  (extensible to http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Obligations
                    ObligationsActorDocumentation
                    SHALL:populate-if-knownImaging study report provider

                    EHDSImagingReportHeader.documentMetadata.documentFormat

                    Summarytrue
                    Requirements

                    Key metadata element describing the composition, used in searching/filtering.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. Composition.type.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                    Control10..*
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Composition.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ $this
                    • 28. Composition.type.coding:eu-template
                      Slice Nameeu-template
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Pattern Value{
                        "system" : "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
                        "code" : "imaging-report-v0-0-1",
                        "display" : "Imaging Report V0.0.1"
                      }
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      30. Composition.category
                      Definition

                      A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                      ShortCategorization of Composition
                      Control10..*
                      BindingFor example codes, see ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-category
                      (example to http://hl7.org/fhir/ValueSet/referenced-item-category)

                      High-level kind of a clinical document at a macro level.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Composition.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ $this
                      • 32. Composition.category:imaging
                        Slice Nameimaging
                        Definition

                        A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                        ShortCategorization of Composition
                        Control10..1*
                        BindingFor example codes, see ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-category
                        (example to http://hl7.org/fhir/ValueSet/referenced-item-category)

                        High-level kind of a clinical document at a macro level.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Obligations
                          ObligationsActorDocumentation
                          SHALL:populate-if-knownImaging study report provider

                          EHDSImagingReportHeader.documentMetadata.documentType

                          Summarytrue
                          Requirements

                          Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                          Pattern Value{
                            "coding" : [{
                              "system" : "http://loinc.org",
                              "code" : "18748-4",
                              "display" : "Diagnostic imaging study"
                            }]
                          }
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          34. Composition.category:imaging.coding
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system
                          Comments

                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                          Control10..1*
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          36. Composition.subject
                          Definition

                          Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

                          ShortWho and/or what the composition is about
                          Comments

                          For clinical documents, this is usually the patient.

                          Control0..*
                          TypeReference(Patient, Practitioner, Group, Device, Location, Resource)
                          Is Modifierfalse
                          Must Supportfalse
                          Obligations
                            ObligationsActorDocumentation
                            SHALL:populate-if-knownImaging study report provider

                            EHDSImagingReportBody.orderInformation.supportingInformation.sexForClinicalUse, EHDSImagingReportHeader.subject

                            Summarytrue
                            Requirements

                            Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            38. Composition.date
                            Definition

                            The composition editing time, when the composition was last logically changed by the author.

                            ShortComposition editing time
                            Comments

                            The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.

                            Control1..1
                            TypedateTime
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Obligations
                              ObligationsActorDocumentation
                              SHALL:populate-if-knownImaging study report provider

                              EHDSImagingReportHeader.authorship.datetime, EHDSImagingReportHeader.documentMetadata.reportDateAndTime

                              Summarytrue
                              Requirements

                              dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.


                              dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              40. Composition.author
                              Definition

                              Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                              ShortWho and/or what authored the composition
                              Control1..*
                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                              Is Modifierfalse
                              Must Supportfalse
                              Obligations
                                ObligationsActorDocumentation
                                SHALL:populate-if-knownImaging study report provider

                                EHDSImagingReportHeader.authorship

                                Summarytrue
                                Requirements

                                Identifies who is responsible for the content.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on Composition.author. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • profile @ $this
                                • 42. Composition.author:author
                                  Slice Nameauthor
                                  Definition

                                  Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                  ShortWho and/or what authored the composition
                                  Control01..*
                                  TypeReference(PractitionerRole (EU base), Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Obligations
                                    ObligationsActorDocumentation
                                    SHALL:populate-if-knownImaging study report provider

                                    EHDSImagingReportHeader.authorship.author

                                    Summarytrue
                                    Requirements

                                    Identifies who is responsible for the content.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    44. Composition.author:authoringDevice
                                    Slice NameauthoringDevice
                                    Definition

                                    Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                    ShortWho and/or what authored the composition
                                    Control01..*
                                    TypeReference(Device, Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Obligations
                                      ObligationsActorDocumentation
                                      SHALL:populate-if-knownImaging study report provider

                                      EHDSImagingReportHeader.authorship.author

                                      Summarytrue
                                      Requirements

                                      Identifies who is responsible for the content.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      46. Composition.title
                                      Definition

                                      Official human-readable label for the composition.

                                      ShortHuman Readable name/title
                                      Comments

                                      For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                                      Control1..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supportfalse
                                      Obligations
                                        ObligationsActorDocumentation
                                        SHALL:populate-if-knownImaging study report provider

                                        EHDSImagingReportHeader.documentMetadata.documentTitle

                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        48. Composition.attester
                                        Definition

                                        A participant who has attested to the accuracy of the composition/document.

                                        ShortAttests to accuracy of composition
                                        Comments

                                        Only list each attester once.

                                        Control0..*
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Requirements

                                        Identifies responsibility for the accuracy of the composition content.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Composition.attester. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ mode
                                        • 50. Composition.attester.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          52. Composition.attester.mode
                                          Definition

                                          The type of attestation the authenticator offers.

                                          Shortpersonal | professional | legal | official
                                          Control1..1
                                          BindingThe codes SHOULD be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode
                                          (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                          The way in which a person authenticated a composition.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Requirements

                                          Indicates the level of authority of the attestation.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          54. Composition.attester:legalAuthenticator
                                          Slice NamelegalAuthenticator
                                          Definition

                                          A participant who has attested to the accuracy of the composition/document.

                                          ShortAttests to accuracy of composition
                                          Comments

                                          Only list each attester once.

                                          Control0..*
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Obligations
                                            ObligationsActorDocumentation
                                            SHALL:populate-if-knownImaging study report provider

                                            EHDSImagingReportHeader.legalAuthentication

                                            Summaryfalse
                                            Requirements

                                            Identifies responsibility for the accuracy of the composition content.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            56. Composition.attester:legalAuthenticator.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            58. Composition.attester:legalAuthenticator.mode
                                            Definition

                                            The type of attestation the authenticator offers.

                                            Shortpersonal | professional | legal | official
                                            Control1..1
                                            BindingThe codes SHOULD be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode
                                            (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                            The way in which a person authenticated a composition.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Requirements

                                            Indicates the level of authority of the attestation.

                                            Pattern Value{
                                              "coding" : [{
                                                "system" : "http://hl7.org/fhir/composition-attestation-mode",
                                                "code" : "legal"
                                              }]
                                            }
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            60. Composition.attester:legalAuthenticator.time
                                            Definition

                                            When the composition was attested by the party.

                                            ShortWhen the composition was attested
                                            Control10..1
                                            TypedateTime
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supportfalse
                                            Obligations
                                              ObligationsActorDocumentation
                                              SHALL:populate-if-knownImaging study report provider

                                              EHDSImagingReportHeader.legalAuthentication.datetime

                                              Summaryfalse
                                              Requirements

                                              Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              62. Composition.attester:legalAuthenticator.party
                                              Definition

                                              Who attested the composition in the specified way.

                                              ShortWho attested the composition
                                              Control0..1
                                              TypeReference(PractitionerRole (EU base), Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Obligations
                                                ObligationsActorDocumentation
                                                SHALL:populate-if-knownImaging study report provider

                                                EHDSImagingReportHeader.legalAuthentication.legalAuthenticator

                                                Summaryfalse
                                                Requirements

                                                Identifies who has taken on the responsibility for accuracy of the composition content.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                64. Composition.attester:resultValidator
                                                Slice NameresultValidator
                                                Definition

                                                A participant who has attested to the accuracy of the composition/document.

                                                ShortAttests to accuracy of composition
                                                Comments

                                                Only list each attester once.

                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Obligations
                                                  ObligationsActorDocumentation
                                                  SHALL:populate-if-knownImaging study report provider

                                                  EHDSImagingReportHeader.attestation

                                                  Summaryfalse
                                                  Requirements

                                                  Identifies responsibility for the accuracy of the composition content.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  66. Composition.attester:resultValidator.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  68. Composition.attester:resultValidator.mode
                                                  Definition

                                                  The type of attestation the authenticator offers.

                                                  Shortpersonal | professional | legal | official
                                                  Control1..1
                                                  BindingThe codes SHOULD be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode
                                                  (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                                  The way in which a person authenticated a composition.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Indicates the level of authority of the attestation.

                                                  Pattern Value{
                                                    "coding" : [{
                                                      "system" : "http://hl7.org/fhir/composition-attestation-mode",
                                                      "code" : "professional"
                                                    }]
                                                  }
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  70. Composition.attester:resultValidator.time
                                                  Definition

                                                  When the composition was attested by the party.

                                                  ShortWhen the composition was attested
                                                  Control10..1
                                                  TypedateTime
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supportfalse
                                                  Obligations
                                                    ObligationsActorDocumentation
                                                    SHALL:populate-if-knownImaging study report provider

                                                    EHDSImagingReportHeader.attestation.datetime

                                                    Summaryfalse
                                                    Requirements

                                                    Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    72. Composition.attester:resultValidator.party
                                                    Definition

                                                    Who attested the composition in the specified way.

                                                    ShortWho attested the composition
                                                    Control0..1
                                                    TypeReference(PractitionerRole (EU base), Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Obligations
                                                      ObligationsActorDocumentation
                                                      SHALL:populate-if-knownImaging study report provider

                                                      EHDSImagingReportHeader.attestation.attester

                                                      Summaryfalse
                                                      Requirements

                                                      Identifies who has taken on the responsibility for accuracy of the composition content.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      74. Composition.custodian
                                                      Definition

                                                      Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                                                      ShortOrganization that manages the Imaging ReportOrganization which maintains the composition
                                                      Comments

                                                      This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

                                                      Control0..1
                                                      TypeReference(Organization (EU base), Organization)
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Obligations
                                                        ObligationsActorDocumentation
                                                        SHALL:populate-if-knownImaging study report provider

                                                        EHDSImagingReportHeader.documentMetadata.reportCustodian

                                                        Summarytrue
                                                        Requirements

                                                        Identifies where to go to find the current version, where to report issues, etc.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        76. Composition.event
                                                        Definition

                                                        The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                                        ShortThe clinical service(s) being documented
                                                        Comments

                                                        The event needs to be consistent with the type element, though can provide further information if desired.

                                                        Control20..*
                                                        TypeBackboneElement
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Requirements

                                                        Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        SlicingThis element introduces a set of slices on Composition.event. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ detail.concept
                                                        • 78. Composition.event.modifierExtension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                          Summarytrue
                                                          Requirements

                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                          Alternate Namesextensions, user content, modifiers
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          80. Composition.event.period
                                                          Definition

                                                          The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                                                          ShortThe period covered by the documentation
                                                          Control0..1
                                                          TypePeriod
                                                          Is Modifierfalse
                                                          Must Supportfalse
                                                          Obligations
                                                            ObligationsActorDocumentation
                                                            SHALL:populate-if-knownImaging study report provider

                                                            EHDSImagingReportHeader.documentMetadata.period

                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            82. Composition.event:imagingstudy
                                                            Slice Nameimagingstudy
                                                            Definition

                                                            The type of imaging modality used to perform the study.


                                                            The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                                            ShortModalityThe clinical service(s) being documented
                                                            Comments

                                                            The event needs to be consistent with the type element, though can provide further information if desired.

                                                            Control10..*
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Obligations
                                                              ObligationsActorDocumentation
                                                              SHALL:populate-if-knownImaging study report provider

                                                              EHDSImagingReportHeader.documentMetadata.eventType, EHDSImagingReportHeader.documentMetadata.specialty, EHDSImagingReportHeader.documentMetadata.studyInstanceUid

                                                              Summarytrue
                                                              Requirements

                                                              Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              84. Composition.event:imagingstudy.modifierExtension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                              Summarytrue
                                                              Requirements

                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                              Alternate Namesextensions, user content, modifiers
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              86. Composition.event:imagingstudy.detail
                                                              Definition

                                                              Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                              ShortThe event(s) being documented, as code(s), reference(s), or both
                                                              Comments

                                                              An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more events are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                              Control10..*
                                                              BindingUnless not suitable, these codes SHALL be taken from For example codes, see https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.htmlhttp://terminology.hl7.org/ValueSet/v3-ActCode
                                                              (extensible to https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html)
                                                              TypeCodeableReference(IM Imaging Study, Resource)
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              88. Composition.event:procedure
                                                              Slice Nameprocedure
                                                              Definition

                                                              The type of imaging study performed.


                                                              The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                                              ShortStudy TypeThe clinical service(s) being documented
                                                              Comments

                                                              The event needs to be consistent with the type element, though can provide further information if desired.

                                                              Control10..*
                                                              TypeBackboneElement
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Obligations
                                                                ObligationsActorDocumentation
                                                                SHALL:populate-if-knownImaging study report provider

                                                                EHDSImagingReportHeader.documentMetadata.eventType, EHDSImagingReportHeader.documentMetadata.specialty

                                                                Summarytrue
                                                                Requirements

                                                                Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                90. Composition.event:procedure.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                92. Composition.event:procedure.detail
                                                                Definition

                                                                Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                                ShortThe event(s) being documented, as code(s), reference(s), or both
                                                                Comments

                                                                An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more events are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                                Control10..*
                                                                BindingUnless not suitable, these codes SHALL be taken from For example codes, see https://www.hl7.org/fhir/valueset-procedure-reason.htmlhttp://terminology.hl7.org/ValueSet/v3-ActCode
                                                                (extensible to https://www.hl7.org/fhir/valueset-procedure-reason.html)
                                                                TypeCodeableReference(IM Imaging Procedure, Resource)
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                94. Composition.section
                                                                Definition

                                                                The root of the sections that make up the composition.

                                                                ShortComposition is broken into sections
                                                                Control80..*
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summaryfalse
                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                eu-imaging-composition-1: When a section is empty, the emptyReason extension SHALL be present. (entry.empty() and emptyReason.exists())
                                                                SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ code
                                                                • 96. Composition.section.modifierExtension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                  Summarytrue
                                                                  Requirements

                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                  Alternate Namesextensions, user content, modifiers
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  98. Composition.section.code
                                                                  Definition

                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                  ShortClassification of section (recommended)
                                                                  Comments

                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                  Control10..1
                                                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                  Classification of a section of a composition/document.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Provides computable standardized labels to topics within the document.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  100. Composition.section.entry
                                                                  Definition

                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                  ShortA reference to data that supports this section
                                                                  Comments

                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                  Control0..*
                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                  TypeReference(Resource)
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  102. Composition.section:imagingstudy
                                                                  Slice Nameimagingstudy
                                                                  Definition

                                                                  This section holds information related to the imaging studies covered by this report.


                                                                  The root of the sections that make up the composition.

                                                                  ShortImaging StudyComposition is broken into sections
                                                                  Control10..1*
                                                                  TypeBackboneElement
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  104. Composition.section:imagingstudy.extension:note
                                                                  Slice Namenote
                                                                  Definition

                                                                  Additional notes that apply to this resource or element.

                                                                  ShortAdditional notes that apply to this resource or element.
                                                                  Comments

                                                                  This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                  Control0..*
                                                                  TypeExtension(Note) (Extension Type: Annotation)
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  106. Composition.section:imagingstudy.modifierExtension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                  Summarytrue
                                                                  Requirements

                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                  Alternate Namesextensions, user content, modifiers
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  108. Composition.section:imagingstudy.code
                                                                  Definition

                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                  ShortClassification of section (recommended)
                                                                  Comments

                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                  Control10..1
                                                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                  Classification of a section of a composition/document.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Provides computable standardized labels to topics within the document.

                                                                  Pattern Value{
                                                                    "coding" : [{
                                                                      "system" : "http://loinc.org",
                                                                      "code" : "18726-0"
                                                                    }]
                                                                  }
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  110. Composition.section:imagingstudy.entry
                                                                  Definition

                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                  ShortA reference to data that supports this section
                                                                  Comments

                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                  Control10..*
                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                  TypeReference(Resource)
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • profile @ $this
                                                                  • 112. Composition.section:imagingstudy.entry:imagingstudy
                                                                    Slice Nameimagingstudy
                                                                    Definition

                                                                    This entry holds a reference to the Imaging Study instance that is associated with this Composition.


                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                    ShortImaging Study ReferenceA reference to data that supports this section
                                                                    Comments

                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                    Control10..*
                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                    TypeReference(IM Imaging Study, Resource)
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Obligations
                                                                      ObligationsActorDocumentation
                                                                      SHALL:populate-if-knownImaging study report provider

                                                                      EHDSImagingReportHeader.documentMetadata.studyInstanceUid

                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      114. Composition.section:order
                                                                      Slice Nameorder
                                                                      Definition

                                                                      This section holds information related to the order for the imaging study.


                                                                      The root of the sections that make up the composition.

                                                                      ShortOrderComposition is broken into sections
                                                                      Control10..1*
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Obligations
                                                                        ObligationsActorDocumentation
                                                                        SHALL:populate-if-knownImaging study report provider

                                                                        EHDSImagingReportBody.orderInformation

                                                                        Summaryfalse
                                                                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        116. Composition.section:order.extension:note
                                                                        Slice Namenote
                                                                        Definition

                                                                        Additional notes that apply to this resource or element.

                                                                        ShortAdditional notes that apply to this resource or element.
                                                                        Comments

                                                                        This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                        Control0..*
                                                                        TypeExtension(Note) (Extension Type: Annotation)
                                                                        Is Modifierfalse
                                                                        Obligations
                                                                          ObligationsActorDocumentation
                                                                          SHALL:populate-if-knownImaging study report provider

                                                                          EHDSImagingReportBody.orderInformation.orderReasonText

                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          118. Composition.section:order.modifierExtension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Requirements

                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                          Alternate Namesextensions, user content, modifiers
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          120. Composition.section:order.code
                                                                          Definition

                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                          ShortClassification of section (recommended)
                                                                          Comments

                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                          Control10..1
                                                                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                          Classification of a section of a composition/document.

                                                                          TypeCodeableConcept
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Provides computable standardized labels to topics within the document.

                                                                          Pattern Value{
                                                                            "coding" : [{
                                                                              "system" : "http://loinc.org",
                                                                              "code" : "55115-0",
                                                                              "display" : "Requested imaging studies information Document"
                                                                            }]
                                                                          }
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          122. Composition.section:order.entry
                                                                          Definition

                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                          ShortA reference to data that supports this section
                                                                          Comments

                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                          Control0..*
                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                          TypeReference(Resource)
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • profile @ $this
                                                                          • 124. Composition.section:order.entry:order
                                                                            Slice Nameorder
                                                                            Definition

                                                                            This entry holds a reference to the order for the Imaging Study and report.


                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                            ShortOrder referenceA reference to data that supports this section
                                                                            Comments

                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                            TypeReference(IM Imaging Order, Resource)
                                                                            Is Modifierfalse
                                                                            Must Supportfalse
                                                                            Obligations
                                                                              ObligationsActorDocumentation
                                                                              SHALL:populate-if-knownImaging study report provider

                                                                              EHDSImagingReportBody.orderInformation.orderId, EHDSImagingReportBody.serviceRequest

                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              126. Composition.section:history
                                                                              Slice Namehistory
                                                                              Definition

                                                                              The root of the sections that make up the composition.

                                                                              ShortHistoryComposition is broken into sections
                                                                              Control10..1*
                                                                              TypeBackboneElement
                                                                              Is Modifierfalse
                                                                              Must Supportfalse
                                                                              Summaryfalse
                                                                              Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              128. Composition.section:history.extension:note
                                                                              Slice Namenote
                                                                              Definition

                                                                              Additional notes that apply to this resource or element.

                                                                              ShortAdditional notes that apply to this resource or element.
                                                                              Comments

                                                                              This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                              Control0..*
                                                                              TypeExtension(Note) (Extension Type: Annotation)
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              130. Composition.section:history.modifierExtension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                              Summarytrue
                                                                              Requirements

                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                              Alternate Namesextensions, user content, modifiers
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              132. Composition.section:history.code
                                                                              Definition

                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                              ShortClassification of section (recommended)
                                                                              Comments

                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                              Control10..1
                                                                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                              Classification of a section of a composition/document.

                                                                              TypeCodeableConcept
                                                                              Is Modifierfalse
                                                                              Must Supportfalse
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Provides computable standardized labels to topics within the document.

                                                                              Pattern Value{
                                                                                "coding" : [{
                                                                                  "system" : "http://loinc.org",
                                                                                  "code" : "11329-0",
                                                                                  "display" : "History general Narrative - Reported"
                                                                                }]
                                                                              }
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              134. Composition.section:history.entry
                                                                              Definition

                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                              ShortA reference to data that supports this section
                                                                              Comments

                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                              Control0..*
                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                              TypeReference(Resource)
                                                                              Is Modifierfalse
                                                                              Must Supportfalse
                                                                              Obligations
                                                                                ObligationsActorDocumentation
                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                EHDSImagingReportBody.orderInformation.supportingInformation, EHDSImagingReportBody.orderInformation.supportingInformation.observation, EHDSImagingReportBody.orderInformation.supportingInformation.condition, EHDSImagingReportBody.orderInformation.supportingInformation.medicationAdministration, EHDSImagingReportBody.orderInformation.supportingInformation.devices, EHDSImagingReportBody.orderInformation.supportingInformation.pregnancyStatus, EHDSImagingReportBody.orderInformation.supportingInformation.gestationalAge, EHDSImagingReportBody.orderInformation.supportingInformation.otherSupportingInformation

                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                136. Composition.section:procedure
                                                                                Slice Nameprocedure
                                                                                Definition

                                                                                The root of the sections that make up the composition.

                                                                                ShortProcedureComposition is broken into sections
                                                                                Control10..1*
                                                                                TypeBackboneElement
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                138. Composition.section:procedure.extension:note
                                                                                Slice Namenote
                                                                                Definition

                                                                                Additional notes that apply to this resource or element.

                                                                                ShortAdditional notes that apply to this resource or element.
                                                                                Comments

                                                                                This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                Control0..*
                                                                                TypeExtension(Note) (Extension Type: Annotation)
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                140. Composition.section:procedure.modifierExtension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                Summarytrue
                                                                                Requirements

                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                Alternate Namesextensions, user content, modifiers
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                142. Composition.section:procedure.code
                                                                                Definition

                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                ShortClassification of section (recommended)
                                                                                Comments

                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                Control10..1
                                                                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                Classification of a section of a composition/document.

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Provides computable standardized labels to topics within the document.

                                                                                Pattern Value{
                                                                                  "coding" : [{
                                                                                    "system" : "http://loinc.org",
                                                                                    "code" : "55111-9",
                                                                                    "display" : "Current imaging procedure descriptions Document"
                                                                                  }]
                                                                                }
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                144. Composition.section:procedure.entry
                                                                                Definition

                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                ShortA reference to data that supports this section
                                                                                Comments

                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                Control0..*
                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                TypeReference(Resource)
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • profile @ $this
                                                                                • 146. Composition.section:procedure.entry:procedure
                                                                                  Slice Nameprocedure
                                                                                  Definition

                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                  ShortA reference to data that supports this section
                                                                                  Comments

                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                  Control0..*
                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                  TypeReference(IM Imaging Procedure, Resource)
                                                                                  Is Modifierfalse
                                                                                  Must Supportfalse
                                                                                  Obligations
                                                                                    ObligationsActorDocumentation
                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                    EHDSImagingReportBody.examinationReport.imagingProcedures, EHDSImagingReportBody.examinationReport.medication

                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    148. Composition.section:comparison
                                                                                    Slice Namecomparison
                                                                                    Definition

                                                                                    The root of the sections that make up the composition.

                                                                                    ShortHistoryComposition is broken into sections
                                                                                    Control10..1*
                                                                                    TypeBackboneElement
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    150. Composition.section:comparison.extension:note
                                                                                    Slice Namenote
                                                                                    Definition

                                                                                    Additional notes that apply to this resource or element.

                                                                                    ShortAdditional notes that apply to this resource or element.
                                                                                    Comments

                                                                                    This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                    Control0..*
                                                                                    TypeExtension(Note) (Extension Type: Annotation)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    152. Composition.section:comparison.modifierExtension
                                                                                    Definition

                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                    Comments

                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    154. Composition.section:comparison.code
                                                                                    Definition

                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                    ShortClassification of section (recommended)
                                                                                    Comments

                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                    Control10..1
                                                                                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                    Classification of a section of a composition/document.

                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Provides computable standardized labels to topics within the document.

                                                                                    Pattern Value{
                                                                                      "coding" : [{
                                                                                        "system" : "http://loinc.org",
                                                                                        "code" : "18834-2",
                                                                                        "display" : "Radiology Comparison study (narrative)"
                                                                                      }]
                                                                                    }
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    156. Composition.section:comparison.entry
                                                                                    Definition

                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                    ShortA reference to data that supports this section
                                                                                    Comments

                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                    Control0..*
                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                    TypeReference(Resource)
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • profile @ $this
                                                                                    • 158. Composition.section:comparison.entry:comparedstudy
                                                                                      Slice Namecomparedstudy
                                                                                      Definition

                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                      ShortA reference to data that supports this section
                                                                                      Comments

                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                      TypeReference(IM Imaging Study, Imaging Selection, Resource)
                                                                                      Is Modifierfalse
                                                                                      Must Supportfalse
                                                                                      Obligations
                                                                                        ObligationsActorDocumentation
                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                        EHDSImagingReport.imagingReportAttachments[x], EHDSImagingReportBody.comparisonStudy

                                                                                        Summaryfalse
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        160. Composition.section:findings
                                                                                        Slice Namefindings
                                                                                        Definition

                                                                                        The root of the sections that make up the composition.

                                                                                        ShortFindingsComposition is broken into sections
                                                                                        Control10..1*
                                                                                        TypeBackboneElement
                                                                                        Is Modifierfalse
                                                                                        Must Supportfalse
                                                                                        Obligations
                                                                                          ObligationsActorDocumentation
                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                          EHDSImagingReportBody.examinationReport.resultData

                                                                                          Summaryfalse
                                                                                          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          162. Composition.section:findings.extension:note
                                                                                          Slice Namenote
                                                                                          Definition

                                                                                          Additional notes that apply to this resource or element.

                                                                                          ShortAdditional notes that apply to this resource or element.
                                                                                          Comments

                                                                                          This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                          Control0..*
                                                                                          TypeExtension(Note) (Extension Type: Annotation)
                                                                                          Is Modifierfalse
                                                                                          Obligations
                                                                                            ObligationsActorDocumentation
                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                            EHDSImagingReportBody.examinationReport.resultData.resultText

                                                                                            Summaryfalse
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            164. Composition.section:findings.modifierExtension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                            Comments

                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            166. Composition.section:findings.code
                                                                                            Definition

                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                            ShortClassification of section (recommended)
                                                                                            Comments

                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                            Control10..1
                                                                                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                            Classification of a section of a composition/document.

                                                                                            TypeCodeableConcept
                                                                                            Is Modifierfalse
                                                                                            Must Supportfalse
                                                                                            Summaryfalse
                                                                                            Requirements

                                                                                            Provides computable standardized labels to topics within the document.

                                                                                            Pattern Value{
                                                                                              "coding" : [{
                                                                                                "system" : "http://loinc.org",
                                                                                                "code" : "59776-5",
                                                                                                "display" : "Findings"
                                                                                              }]
                                                                                            }
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            168. Composition.section:findings.entry
                                                                                            Definition

                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                            ShortA reference to data that supports this section
                                                                                            Comments

                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                            Control0..*
                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                            TypeReference(Resource)
                                                                                            Is Modifierfalse
                                                                                            Must Supportfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • profile @ $this
                                                                                            • 170. Composition.section:findings.entry:finding
                                                                                              Slice Namefinding
                                                                                              Definition

                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                              ShortA reference to data that supports this section
                                                                                              Comments

                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                              Control0..*
                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                              TypeReference(Finding, Resource)
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Obligations
                                                                                                ObligationsActorDocumentation
                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                EHDSImagingReportBody.examinationReport.resultData.observationResults

                                                                                                Summaryfalse
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                172. Composition.section:findings.entry:keyimage
                                                                                                Slice Namekeyimage
                                                                                                Definition

                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                ShortA reference to data that supports this section
                                                                                                Comments

                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                Control0..*
                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                TypeReference(Imaging Key Image Document Reference, Key images represented as an ImagingSelection for R4, Resource)
                                                                                                Is Modifierfalse
                                                                                                Must Supportfalse
                                                                                                Summaryfalse
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                174. Composition.section:impression
                                                                                                Slice Nameimpression
                                                                                                Definition

                                                                                                The root of the sections that make up the composition.

                                                                                                ShortImpressionsComposition is broken into sections
                                                                                                Control10..1*
                                                                                                TypeBackboneElement
                                                                                                Is Modifierfalse
                                                                                                Must Supportfalse
                                                                                                Obligations
                                                                                                  ObligationsActorDocumentation
                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                  EHDSImagingReportBody.examinationReport.conclusion

                                                                                                  Summaryfalse
                                                                                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  176. Composition.section:impression.extension:note
                                                                                                  Slice Namenote
                                                                                                  Definition

                                                                                                  Additional notes that apply to this resource or element.

                                                                                                  ShortAdditional notes that apply to this resource or element.
                                                                                                  Comments

                                                                                                  This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                  Control0..*
                                                                                                  TypeExtension(Note) (Extension Type: Annotation)
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  178. Composition.section:impression.modifierExtension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  180. Composition.section:impression.code
                                                                                                  Definition

                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                  ShortClassification of section (recommended)
                                                                                                  Comments

                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                  Control10..1
                                                                                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                  Classification of a section of a composition/document.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Requirements

                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                  Pattern Value{
                                                                                                    "coding" : [{
                                                                                                      "system" : "http://loinc.org",
                                                                                                      "code" : "19005-8",
                                                                                                      "display" : "Radiology Imaging study [Impression] (narrative)"
                                                                                                    }]
                                                                                                  }
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  182. Composition.section:impression.entry
                                                                                                  Definition

                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                  ShortA reference to data that supports this section
                                                                                                  Comments

                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                  Control0..*
                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                  TypeReference(Resource)
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                  • profile @ $this
                                                                                                  • 184. Composition.section:impression.entry:finding
                                                                                                    Slice Namefinding
                                                                                                    Definition

                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                    ShortA reference to data that supports this section
                                                                                                    Comments

                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                    Control0..*
                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                    TypeReference(Finding, Resource)
                                                                                                    Is Modifierfalse
                                                                                                    Must Supportfalse
                                                                                                    Obligations
                                                                                                      ObligationsActorDocumentation
                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                      EHDSImagingReportBody.examinationReport.conclusion.conditionOrFinding[x]

                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      186. Composition.section:impression.entry:impression
                                                                                                      Slice Nameimpression
                                                                                                      Definition

                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                      ShortA reference to data that supports this section
                                                                                                      Comments

                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                      Control0..*
                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                      TypeReference(EU Condition, Resource)
                                                                                                      Is Modifierfalse
                                                                                                      Must Supportfalse
                                                                                                      Obligations
                                                                                                        ObligationsActorDocumentation
                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                        EHDSImagingReportBody.examinationReport.conclusion.conditionOrFinding[x]

                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        188. Composition.section:impression.entry:keyimage
                                                                                                        Slice Namekeyimage
                                                                                                        Definition

                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                        ShortA reference to data that supports this section
                                                                                                        Comments

                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                        Control0..*
                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                        TypeReference(Imaging Key Image Document Reference, Key images represented as an ImagingSelection for R4, Resource)
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        190. Composition.section:recommendation
                                                                                                        Slice Namerecommendation
                                                                                                        Definition

                                                                                                        The root of the sections that make up the composition.

                                                                                                        ShortRecommendationsComposition is broken into sections
                                                                                                        Control10..1*
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Obligations
                                                                                                          ObligationsActorDocumentation
                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                          EHDSImagingReportBody.recommendation

                                                                                                          Summaryfalse
                                                                                                          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          192. Composition.section:recommendation.extension:note
                                                                                                          Slice Namenote
                                                                                                          Definition

                                                                                                          Additional notes that apply to this resource or element.

                                                                                                          ShortAdditional notes that apply to this resource or element.
                                                                                                          Comments

                                                                                                          This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                          Control0..*
                                                                                                          TypeExtension(Note) (Extension Type: Annotation)
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          194. Composition.section:recommendation.modifierExtension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          196. Composition.section:recommendation.code
                                                                                                          Definition

                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                          ShortClassification of section (recommended)
                                                                                                          Comments

                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                          Control10..1
                                                                                                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                          Classification of a section of a composition/document.

                                                                                                          TypeCodeableConcept
                                                                                                          Is Modifierfalse
                                                                                                          Must Supportfalse
                                                                                                          Summaryfalse
                                                                                                          Requirements

                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                          Pattern Value{
                                                                                                            "coding" : [{
                                                                                                              "system" : "http://loinc.org",
                                                                                                              "code" : "18783-1",
                                                                                                              "display" : "Radiology Study recommendation (narrative)"
                                                                                                            }]
                                                                                                          }
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          198. Composition.section:recommendation.entry
                                                                                                          Definition

                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                          ShortA reference to data that supports this section
                                                                                                          Comments

                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                          Control0..*
                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                          TypeReference(Resource)
                                                                                                          Is Modifierfalse
                                                                                                          Must Supportfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • profile @ $this
                                                                                                          • 200. Composition.section:recommendation.entry:careplan
                                                                                                            Slice Namecareplan
                                                                                                            Definition

                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                            ShortA reference to data that supports this section
                                                                                                            Comments

                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                            Control0..*
                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                            TypeReference(EU CarePlan, Resource)
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Obligations
                                                                                                              ObligationsActorDocumentation
                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                              EHDSImagingReportBody.recommendation.carePlan

                                                                                                              Summaryfalse
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              202. Composition.section:communication
                                                                                                              Slice Namecommunication
                                                                                                              Definition

                                                                                                              The root of the sections that make up the composition.

                                                                                                              ShortCommunicationsComposition is broken into sections
                                                                                                              Control0..1*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Must Supportfalse
                                                                                                              Summaryfalse
                                                                                                              Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              204. Composition.section:communication.extension:note
                                                                                                              Slice Namenote
                                                                                                              Definition

                                                                                                              Additional notes that apply to this resource or element.

                                                                                                              ShortAdditional notes that apply to this resource or element.
                                                                                                              Comments

                                                                                                              This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                              Control0..*
                                                                                                              TypeExtension(Note) (Extension Type: Annotation)
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              206. Composition.section:communication.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              208. Composition.section:communication.code
                                                                                                              Definition

                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                              ShortClassification of section (recommended)
                                                                                                              Comments

                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                              Control10..1
                                                                                                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                              Classification of a section of a composition/document.

                                                                                                              TypeCodeableConcept
                                                                                                              Is Modifierfalse
                                                                                                              Must Supportfalse
                                                                                                              Summaryfalse
                                                                                                              Requirements

                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                              Pattern Value{
                                                                                                                "coding" : [{
                                                                                                                  "system" : "http://loinc.org",
                                                                                                                  "code" : "18783-1",
                                                                                                                  "display" : "Radiology Study recommendation (narrative)"
                                                                                                                }]
                                                                                                              }
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              210. Composition.section:communication.entry
                                                                                                              Definition

                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                              ShortA reference to data that supports this section
                                                                                                              Comments

                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                              Control0..*
                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                              TypeReference(Resource)
                                                                                                              Is Modifierfalse
                                                                                                              Must Supportfalse
                                                                                                              Summaryfalse
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                                                                                              Guidance on how to interpret the contents of this table can be foundhere

                                                                                                              0. Composition
                                                                                                              2. Composition.meta
                                                                                                              4. Composition.meta.security
                                                                                                              Obligations
                                                                                                                ObligationsActorDocumentation
                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                EHDSImagingReportHeader.documentMetadata.confidentiality

                                                                                                                6. Composition.language
                                                                                                                Obligations
                                                                                                                  ObligationsActorDocumentation
                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                  EHDSImagingReportHeader.documentMetadata.language

                                                                                                                  8. Composition.extension:basedOn
                                                                                                                  Slice NamebasedOn
                                                                                                                  Obligations
                                                                                                                    ObligationsActorDocumentation
                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                    EHDSImagingReportHeader.healthInsuranceAndPaymentInformation, EHDSImagingReportHeader.documentMetadata.accessionNumber

                                                                                                                    10. Composition.extension:informationRecipient
                                                                                                                    Slice NameinformationRecipient
                                                                                                                    Obligations
                                                                                                                      ObligationsActorDocumentation
                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                      EHDSImagingReportHeader.intendedRecipient

                                                                                                                      12. Composition.extension:diagnosticreport-reference
                                                                                                                      Slice Namediagnosticreport-reference
                                                                                                                      Obligations
                                                                                                                        ObligationsActorDocumentation
                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                        EHDSImagingReportHeader.

                                                                                                                        14. Composition.identifier
                                                                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                        Obligations
                                                                                                                          ObligationsActorDocumentation
                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                          EHDSImagingReportBody.orderInformation.orderId, EHDSImagingReportHeader.documentMetadata.documentId

                                                                                                                          16. Composition.version
                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                          Obligations
                                                                                                                            ObligationsActorDocumentation
                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                            EHDSImagingReportHeader.documentMetadata.version

                                                                                                                            18. Composition.status
                                                                                                                            Obligations
                                                                                                                              ObligationsActorDocumentation
                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                              EHDSImagingReportHeader.documentMetadata.documentStatus

                                                                                                                              20. Composition.type
                                                                                                                              Obligations
                                                                                                                                ObligationsActorDocumentation
                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                EHDSImagingReportHeader.documentMetadata.documentFormat

                                                                                                                                22. Composition.category:imaging
                                                                                                                                Slice Nameimaging
                                                                                                                                Obligations
                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                  EHDSImagingReportHeader.documentMetadata.documentType

                                                                                                                                  24. Composition.subject
                                                                                                                                  Obligations
                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                    EHDSImagingReportBody.orderInformation.supportingInformation.sexForClinicalUse, EHDSImagingReportHeader.subject

                                                                                                                                    26. Composition.date
                                                                                                                                    Obligations
                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                      EHDSImagingReportHeader.authorship.datetime, EHDSImagingReportHeader.documentMetadata.reportDateAndTime

                                                                                                                                      28. Composition.author
                                                                                                                                      Obligations
                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                        EHDSImagingReportHeader.authorship

                                                                                                                                        30. Composition.author:author
                                                                                                                                        Slice Nameauthor
                                                                                                                                        Obligations
                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                          EHDSImagingReportHeader.authorship.author

                                                                                                                                          32. Composition.author:authoringDevice
                                                                                                                                          Slice NameauthoringDevice
                                                                                                                                          Obligations
                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                            EHDSImagingReportHeader.authorship.author

                                                                                                                                            34. Composition.title
                                                                                                                                            Obligations
                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                              EHDSImagingReportHeader.documentMetadata.documentTitle

                                                                                                                                              36. Composition.attester:legalAuthenticator
                                                                                                                                              Slice NamelegalAuthenticator
                                                                                                                                              Obligations
                                                                                                                                                ObligationsActorDocumentation
                                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                                EHDSImagingReportHeader.legalAuthentication

                                                                                                                                                38. Composition.attester:legalAuthenticator.time
                                                                                                                                                Obligations
                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                  EHDSImagingReportHeader.legalAuthentication.datetime

                                                                                                                                                  40. Composition.attester:legalAuthenticator.party
                                                                                                                                                  Obligations
                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                    EHDSImagingReportHeader.legalAuthentication.legalAuthenticator

                                                                                                                                                    42. Composition.attester:resultValidator
                                                                                                                                                    Slice NameresultValidator
                                                                                                                                                    Obligations
                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                      EHDSImagingReportHeader.attestation

                                                                                                                                                      44. Composition.attester:resultValidator.time
                                                                                                                                                      Obligations
                                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                                        EHDSImagingReportHeader.attestation.datetime

                                                                                                                                                        46. Composition.attester:resultValidator.party
                                                                                                                                                        Obligations
                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                          EHDSImagingReportHeader.attestation.attester

                                                                                                                                                          48. Composition.custodian
                                                                                                                                                          Obligations
                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                            EHDSImagingReportHeader.documentMetadata.reportCustodian

                                                                                                                                                            50. Composition.event
                                                                                                                                                            52. Composition.event.period
                                                                                                                                                            Obligations
                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                              EHDSImagingReportHeader.documentMetadata.period

                                                                                                                                                              54. Composition.event:imagingstudy
                                                                                                                                                              Slice Nameimagingstudy
                                                                                                                                                              Obligations
                                                                                                                                                                ObligationsActorDocumentation
                                                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                EHDSImagingReportHeader.documentMetadata.eventType, EHDSImagingReportHeader.documentMetadata.specialty, EHDSImagingReportHeader.documentMetadata.studyInstanceUid

                                                                                                                                                                56. Composition.event:procedure
                                                                                                                                                                Slice Nameprocedure
                                                                                                                                                                Obligations
                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                  EHDSImagingReportHeader.documentMetadata.eventType, EHDSImagingReportHeader.documentMetadata.specialty

                                                                                                                                                                  58. Composition.section:imagingstudy
                                                                                                                                                                  Slice Nameimagingstudy
                                                                                                                                                                  60. Composition.section:imagingstudy.entry:imagingstudy
                                                                                                                                                                  Slice Nameimagingstudy
                                                                                                                                                                  Obligations
                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                    EHDSImagingReportHeader.documentMetadata.studyInstanceUid

                                                                                                                                                                    62. Composition.section:order
                                                                                                                                                                    Slice Nameorder
                                                                                                                                                                    Obligations
                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                      EHDSImagingReportBody.orderInformation

                                                                                                                                                                      64. Composition.section:order.extension:note
                                                                                                                                                                      Slice Namenote
                                                                                                                                                                      Obligations
                                                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                        EHDSImagingReportBody.orderInformation.orderReasonText

                                                                                                                                                                        66. Composition.section:order.entry:order
                                                                                                                                                                        Slice Nameorder
                                                                                                                                                                        Obligations
                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                          EHDSImagingReportBody.orderInformation.orderId, EHDSImagingReportBody.serviceRequest

                                                                                                                                                                          68. Composition.section:history
                                                                                                                                                                          Slice Namehistory
                                                                                                                                                                          70. Composition.section:history.entry
                                                                                                                                                                          Obligations
                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                            EHDSImagingReportBody.orderInformation.supportingInformation, EHDSImagingReportBody.orderInformation.supportingInformation.observation, EHDSImagingReportBody.orderInformation.supportingInformation.condition, EHDSImagingReportBody.orderInformation.supportingInformation.medicationAdministration, EHDSImagingReportBody.orderInformation.supportingInformation.devices, EHDSImagingReportBody.orderInformation.supportingInformation.pregnancyStatus, EHDSImagingReportBody.orderInformation.supportingInformation.gestationalAge, EHDSImagingReportBody.orderInformation.supportingInformation.otherSupportingInformation

                                                                                                                                                                            72. Composition.section:procedure
                                                                                                                                                                            Slice Nameprocedure
                                                                                                                                                                            74. Composition.section:procedure.entry:procedure
                                                                                                                                                                            Slice Nameprocedure
                                                                                                                                                                            Obligations
                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                              EHDSImagingReportBody.examinationReport.imagingProcedures, EHDSImagingReportBody.examinationReport.medication

                                                                                                                                                                              76. Composition.section:comparison
                                                                                                                                                                              Slice Namecomparison
                                                                                                                                                                              78. Composition.section:comparison.entry:comparedstudy
                                                                                                                                                                              Slice Namecomparedstudy
                                                                                                                                                                              Obligations
                                                                                                                                                                                ObligationsActorDocumentation
                                                                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                EHDSImagingReport.imagingReportAttachments[x], EHDSImagingReportBody.comparisonStudy

                                                                                                                                                                                80. Composition.section:findings
                                                                                                                                                                                Slice Namefindings
                                                                                                                                                                                Obligations
                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                  EHDSImagingReportBody.examinationReport.resultData

                                                                                                                                                                                  82. Composition.section:findings.extension:note
                                                                                                                                                                                  Slice Namenote
                                                                                                                                                                                  Obligations
                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                    EHDSImagingReportBody.examinationReport.resultData.resultText

                                                                                                                                                                                    84. Composition.section:findings.entry:finding
                                                                                                                                                                                    Slice Namefinding
                                                                                                                                                                                    Obligations
                                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                      EHDSImagingReportBody.examinationReport.resultData.observationResults

                                                                                                                                                                                      86. Composition.section:impression
                                                                                                                                                                                      Slice Nameimpression
                                                                                                                                                                                      Obligations
                                                                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                        EHDSImagingReportBody.examinationReport.conclusion

                                                                                                                                                                                        88. Composition.section:impression.entry:finding
                                                                                                                                                                                        Slice Namefinding
                                                                                                                                                                                        Obligations
                                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                          EHDSImagingReportBody.examinationReport.conclusion.conditionOrFinding[x]

                                                                                                                                                                                          90. Composition.section:impression.entry:impression
                                                                                                                                                                                          Slice Nameimpression
                                                                                                                                                                                          Obligations
                                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                            EHDSImagingReportBody.examinationReport.conclusion.conditionOrFinding[x]

                                                                                                                                                                                            92. Composition.section:recommendation
                                                                                                                                                                                            Slice Namerecommendation
                                                                                                                                                                                            Obligations
                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                              EHDSImagingReportBody.recommendation

                                                                                                                                                                                              94. Composition.section:recommendation.entry:careplan
                                                                                                                                                                                              Slice Namecareplan
                                                                                                                                                                                              Obligations
                                                                                                                                                                                                ObligationsActorDocumentation
                                                                                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                EHDSImagingReportBody.recommendation.carePlan

                                                                                                                                                                                                Guidance on how to interpret the contents of this table can be foundhere

                                                                                                                                                                                                0. Composition
                                                                                                                                                                                                Definition

                                                                                                                                                                                                Imaging Study Report composition.

                                                                                                                                                                                                A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement.

                                                                                                                                                                                                While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.

                                                                                                                                                                                                The text field of each section SHALL contain a textual representation of all listed entries.

                                                                                                                                                                                                ShortImaging Report composition
                                                                                                                                                                                                Comments

                                                                                                                                                                                                While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                                                                                                                                                                dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                                                                                                                                                                                dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                                                                                                                                                                dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                                                                                                                                                                2. Composition.id
                                                                                                                                                                                                Definition

                                                                                                                                                                                                The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                                                                                                                                                ShortLogical id of this artifact
                                                                                                                                                                                                Comments

                                                                                                                                                                                                Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                Typeid
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                4. Composition.meta
                                                                                                                                                                                                Definition

                                                                                                                                                                                                The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                                                                                                                                                ShortMetadata about the resource
                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                TypeMeta
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                6. Composition.meta.id
                                                                                                                                                                                                Definition

                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                Typeid
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                8. Composition.meta.extension
                                                                                                                                                                                                Definition

                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                Comments

                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                • 10. Composition.meta.versionId
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                                                                                                                                                                                  ShortVersion specific identifier
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  12. Composition.meta.lastUpdated
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  When the resource last changed - e.g. when the version changed.

                                                                                                                                                                                                  ShortWhen the resource version last changed
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typeinstant
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  14. Composition.meta.source
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                                                                                                                                                                                  ShortIdentifies where the resource comes from
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference.

                                                                                                                                                                                                  This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  16. Composition.meta.profile
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

                                                                                                                                                                                                  ShortProfiles this resource claims to conform to
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  Typecanonical(StructureDefinition)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  18. Composition.meta.security
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                                                                                                                                                                                  ShortSecurity Labels applied to this resource
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  BindingUnless not suitable, these codes SHALL be taken from AllSecurityLabels
                                                                                                                                                                                                  (extensible to http://hl7.org/fhir/ValueSet/security-labels)

                                                                                                                                                                                                  Security Labels from the Healthcare Privacy and Security Classification System.

                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                    EHDSImagingReportHeader.documentMetadata.confidentiality

                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    20. Composition.meta.tag
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                                                                                                                                                                                    ShortTags applied to this resource
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                    BindingFor example codes, see CommonTags
                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/common-tags)

                                                                                                                                                                                                    Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    22. Composition.implicitRules
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                                                                                                                                                    ShortA set of rules under which this content was created
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    24. Composition.language
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    The base language in which the resource is written.

                                                                                                                                                                                                    ShortLanguage of the resource content
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                    BindingThe codes SHALL be taken from AllLanguages
                                                                                                                                                                                                    (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

                                                                                                                                                                                                    IETF language tag for a human language

                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                      EHDSImagingReportHeader.documentMetadata.language

                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      26. Composition.text
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                      ShortText summary of the resource, for human interpretation
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: dom-6
                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Alternate Namesnarrative, html, xhtml, display
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      28. Composition.contained
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                                                                                                                                                                                                      ShortContained, inline Resources
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                                                                                                                                                                                                      TypeResource
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Alternate Namesinline resources, anonymous resources, contained resources
                                                                                                                                                                                                      30. Composition.extension
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      An Extension

                                                                                                                                                                                                      ShortExtension
                                                                                                                                                                                                      Control1..*
                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                      • 32. Composition.extension:basedOn
                                                                                                                                                                                                        Slice NamebasedOn
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A plan, proposal or order that is fulfilled in whole or in part by this event.

                                                                                                                                                                                                        ShortFulfills plan, proposal or order
                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeExtension(Based on) (Extension Type: Reference(Resource))
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                          EHDSImagingReportHeader.healthInsuranceAndPaymentInformation, EHDSImagingReportHeader.documentMetadata.accessionNumber

                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                          34. Composition.extension:informationRecipient
                                                                                                                                                                                                          Slice NameinformationRecipient
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          This extension applies to the Composition resource and is used to represent an intended recipient of the composition.

                                                                                                                                                                                                          ShortComposition: Information recipient
                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeExtension(Composition: Information recipient) (Extension Type: Reference(Practitioner, Device, Patient, RelatedPerson, PractitionerRole, Organization))
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                            EHDSImagingReportHeader.intendedRecipient

                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                            36. Composition.extension:diagnosticreport-reference
                                                                                                                                                                                                            Slice Namediagnosticreport-reference
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.

                                                                                                                                                                                                            ShortDocument DiagnosticReport Reference
                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                            TypeExtension(Document DiagnosticReport Reference) (Extension Type: Reference(Imaging Diagnostic Report))
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                              EHDSImagingReportHeader.

                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              38. Composition.modifierExtension
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                              ShortExtensions that cannot be ignored
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              40. Composition.url
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              An absolute URI that is used to identify this Composition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Composition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Composition is stored on different servers.

                                                                                                                                                                                                              ShortCanonical identifier for this Composition, represented as a URI (globally unique)
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Allows the Composition to be referenced by a single globally unique identifier.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              42. Composition.identifier
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Identifiers assigned to this report by the performer or other systems. It shall be common to several report versions

                                                                                                                                                                                                              ShortReport identifier
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists

                                                                                                                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                                                                                              Control1..*
                                                                                                                                                                                                              TypeIdentifier
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                ObligationsActorDocumentation
                                                                                                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                EHDSImagingReportBody.orderInformation.orderId, EHDSImagingReportHeader.documentMetadata.documentId

                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                44. Composition.version
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                An explicitly assigned identifer of a variation of the content in the Composition.

                                                                                                                                                                                                                ShortAn explicitly assigned identifer of a variation of the content in the Composition
                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.

                                                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                  EHDSImagingReportHeader.documentMetadata.version

                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  46. Composition.status
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                                                                                                                                                                                                                  Shortregistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                                                                                                                                                                                                                  Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  BindingThe codes SHALL be taken from CompositionStatus
                                                                                                                                                                                                                  (required to http://hl7.org/fhir/ValueSet/composition-status|5.0.0)

                                                                                                                                                                                                                  The workflow/clinical status of the composition.

                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                    EHDSImagingReportHeader.documentMetadata.documentStatus

                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Need to be able to mark interim, amended, or withdrawn compositions or documents.

                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    48. Composition.type
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

                                                                                                                                                                                                                    ShortKind of composition (LOINC if possible)
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                    BindingUnless not suitable, these codes SHALL be taken from HL7 EU Imaging Report Types
                                                                                                                                                                                                                    (extensible to http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS)
                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                      EHDSImagingReportHeader.documentMetadata.documentFormat

                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                      Key metadata element describing the composition, used in searching/filtering.

                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      50. Composition.type.id
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                      52. Composition.type.extension
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                      • 54. Composition.type.coding
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                        Control1..*
                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                        • value @ $this
                                                                                                                                                                                                                        • 56. Composition.type.coding:eu-template
                                                                                                                                                                                                                          Slice Nameeu-template
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                          Pattern Value{
                                                                                                                                                                                                                            "system" : "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
                                                                                                                                                                                                                            "code" : "imaging-report-v0-0-1",
                                                                                                                                                                                                                            "display" : "Imaging Report V0.0.1"
                                                                                                                                                                                                                          }
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          58. Composition.type.text
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          60. Composition.category
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                                                                                                                                                                                                                          ShortCategorization of Composition
                                                                                                                                                                                                                          Control1..*
                                                                                                                                                                                                                          BindingFor example codes, see ReferencedItemCategoryValueSet
                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/referenced-item-category)

                                                                                                                                                                                                                          High-level kind of a clinical document at a macro level.

                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                          • value @ $this
                                                                                                                                                                                                                          • 62. Composition.category:imaging
                                                                                                                                                                                                                            Slice Nameimaging
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                                                                                                                                                                                                                            ShortCategorization of Composition
                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            BindingFor example codes, see ReferencedItemCategoryValueSet
                                                                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/referenced-item-category)

                                                                                                                                                                                                                            High-level kind of a clinical document at a macro level.

                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                              EHDSImagingReportHeader.documentMetadata.documentType

                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                                                                                                                                                                                                                              Pattern Value{
                                                                                                                                                                                                                                "coding" : [{
                                                                                                                                                                                                                                  "system" : "http://loinc.org",
                                                                                                                                                                                                                                  "code" : "18748-4",
                                                                                                                                                                                                                                  "display" : "Diagnostic imaging study"
                                                                                                                                                                                                                                }]
                                                                                                                                                                                                                              }
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              64. Composition.category:imaging.id
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              66. Composition.category:imaging.extension
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                              • 68. Composition.category:imaging.coding
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                70. Composition.category:imaging.text
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                72. Composition.subject
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

                                                                                                                                                                                                                                ShortWho and/or what the composition is about
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                For clinical documents, this is usually the patient.

                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                TypeReference(Patient, Practitioner, Group, Device, Location)
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                  EHDSImagingReportBody.orderInformation.supportingInformation.sexForClinicalUse, EHDSImagingReportHeader.subject

                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  74. Composition.encounter
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  Describes the clinical encounter or type of care this documentation is associated with.

                                                                                                                                                                                                                                  ShortContext of the Composition
                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                  TypeReference(Encounter)
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  Provides context for the composition and supports searching.

                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  76. Composition.date
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  The composition editing time, when the composition was last logically changed by the author.

                                                                                                                                                                                                                                  ShortComposition editing time
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.

                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                  TypedateTime
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                    EHDSImagingReportHeader.authorship.datetime, EHDSImagingReportHeader.documentMetadata.reportDateAndTime

                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    78. Composition.useContext
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Composition instances.

                                                                                                                                                                                                                                    ShortThe context that the content is intended to support
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                    TypeUsageContext
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Assist in searching for appropriate content.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    80. Composition.author
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                                                                                                                                                                                                                    ShortWho and/or what authored the composition
                                                                                                                                                                                                                                    Control1..*
                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                      EHDSImagingReportHeader.authorship

                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.author. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                      • profile @ $this
                                                                                                                                                                                                                                      • 82. Composition.author:author
                                                                                                                                                                                                                                        Slice Nameauthor
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                                                                                                                                                                                                                        ShortWho and/or what authored the composition
                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                        TypeReference(PractitionerRole (EU base))
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                          EHDSImagingReportHeader.authorship.author

                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          84. Composition.author:authoringDevice
                                                                                                                                                                                                                                          Slice NameauthoringDevice
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                                                                                                                                                                                                                          ShortWho and/or what authored the composition
                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeReference(Device)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                            EHDSImagingReportHeader.authorship.author

                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                            86. Composition.name
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation.

                                                                                                                                                                                                                                            ShortName for this Composition (computer friendly)
                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                            The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                            Support human navigation and code generation.

                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                            88. Composition.title
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            Official human-readable label for the composition.

                                                                                                                                                                                                                                            ShortHuman Readable name/title
                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                            For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                              EHDSImagingReportHeader.documentMetadata.documentTitle

                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              90. Composition.note
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              For any additional notes.

                                                                                                                                                                                                                                              ShortFor any additional notes
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              A comment, general note or annotation not coded elsewhere.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeAnnotation
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              92. Composition.attester
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A participant who has attested to the accuracy of the composition/document.

                                                                                                                                                                                                                                              ShortAttests to accuracy of composition
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Only list each attester once.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Identifies responsibility for the accuracy of the composition content.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.attester. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                              • value @ mode
                                                                                                                                                                                                                                              • 94. Composition.attester.id
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                96. Composition.attester.extension
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                98. Composition.attester.modifierExtension
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                100. Composition.attester.mode
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                The type of attestation the authenticator offers.

                                                                                                                                                                                                                                                Shortpersonal | professional | legal | official
                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from CompositionAttestationMode
                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                                                                                                                                                                                                                                The way in which a person authenticated a composition.

                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Indicates the level of authority of the attestation.

                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                102. Composition.attester.time
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                When the composition was attested by the party.

                                                                                                                                                                                                                                                ShortWhen the composition was attested
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                TypedateTime
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                104. Composition.attester.party
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Who attested the composition in the specified way.

                                                                                                                                                                                                                                                ShortWho attested the composition
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                TypeReference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Identifies who has taken on the responsibility for accuracy of the composition content.

                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                106. Composition.attester:legalAuthenticator
                                                                                                                                                                                                                                                Slice NamelegalAuthenticator
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                A participant who has attested to the accuracy of the composition/document.

                                                                                                                                                                                                                                                ShortAttests to accuracy of composition
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                Only list each attester once.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                  EHDSImagingReportHeader.legalAuthentication

                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Identifies responsibility for the accuracy of the composition content.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  108. Composition.attester:legalAuthenticator.id
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  110. Composition.attester:legalAuthenticator.extension
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                  112. Composition.attester:legalAuthenticator.modifierExtension
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                  114. Composition.attester:legalAuthenticator.mode
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  The type of attestation the authenticator offers.

                                                                                                                                                                                                                                                  Shortpersonal | professional | legal | official
                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from CompositionAttestationMode
                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                                                                                                                                                                                                                                  The way in which a person authenticated a composition.

                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Indicates the level of authority of the attestation.

                                                                                                                                                                                                                                                  Pattern Value{
                                                                                                                                                                                                                                                    "coding" : [{
                                                                                                                                                                                                                                                      "system" : "http://hl7.org/fhir/composition-attestation-mode",
                                                                                                                                                                                                                                                      "code" : "legal"
                                                                                                                                                                                                                                                    }]
                                                                                                                                                                                                                                                  }
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  116. Composition.attester:legalAuthenticator.time
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  When the composition was attested by the party.

                                                                                                                                                                                                                                                  ShortWhen the composition was attested
                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  TypedateTime
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                    EHDSImagingReportHeader.legalAuthentication.datetime

                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    118. Composition.attester:legalAuthenticator.party
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    Who attested the composition in the specified way.

                                                                                                                                                                                                                                                    ShortWho attested the composition
                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    TypeReference(PractitionerRole (EU base))
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                      EHDSImagingReportHeader.legalAuthentication.legalAuthenticator

                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Identifies who has taken on the responsibility for accuracy of the composition content.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      120. Composition.attester:resultValidator
                                                                                                                                                                                                                                                      Slice NameresultValidator
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A participant who has attested to the accuracy of the composition/document.

                                                                                                                                                                                                                                                      ShortAttests to accuracy of composition
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Only list each attester once.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                        EHDSImagingReportHeader.attestation

                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                        Identifies responsibility for the accuracy of the composition content.

                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        122. Composition.attester:resultValidator.id
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        124. Composition.attester:resultValidator.extension
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                        126. Composition.attester:resultValidator.modifierExtension
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                        128. Composition.attester:resultValidator.mode
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        The type of attestation the authenticator offers.

                                                                                                                                                                                                                                                        Shortpersonal | professional | legal | official
                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from CompositionAttestationMode
                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode)

                                                                                                                                                                                                                                                        The way in which a person authenticated a composition.

                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                        Indicates the level of authority of the attestation.

                                                                                                                                                                                                                                                        Pattern Value{
                                                                                                                                                                                                                                                          "coding" : [{
                                                                                                                                                                                                                                                            "system" : "http://hl7.org/fhir/composition-attestation-mode",
                                                                                                                                                                                                                                                            "code" : "professional"
                                                                                                                                                                                                                                                          }]
                                                                                                                                                                                                                                                        }
                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        130. Composition.attester:resultValidator.time
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        When the composition was attested by the party.

                                                                                                                                                                                                                                                        ShortWhen the composition was attested
                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                        TypedateTime
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                          EHDSImagingReportHeader.attestation.datetime

                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          132. Composition.attester:resultValidator.party
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Who attested the composition in the specified way.

                                                                                                                                                                                                                                                          ShortWho attested the composition
                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          TypeReference(PractitionerRole (EU base))
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                            EHDSImagingReportHeader.attestation.attester

                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Identifies who has taken on the responsibility for accuracy of the composition content.

                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            134. Composition.custodian
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                                                                                                                                                                                                                                                            ShortOrganization that manages the Imaging Report
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                            TypeReference(Organization (EU base))
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                              EHDSImagingReportHeader.documentMetadata.reportCustodian

                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                              Identifies where to go to find the current version, where to report issues, etc.

                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              136. Composition.relatesTo
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              Relationships that this composition has with other compositions or documents that already exist.

                                                                                                                                                                                                                                                              ShortRelationships to other compositions/documents
                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                              To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.
                                                                                                                                                                                                                                                              When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource.
                                                                                                                                                                                                                                                              Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier:

                                                                                                                                                                                                                                                              "relatesTo": [{
                                                                                                                                                                                                                                                                "type": "replaces",
                                                                                                                                                                                                                                                                "resourceReference": {
                                                                                                                                                                                                                                                                  "identifier": { 
                                                                                                                                                                                                                                                                    "system": "...", 
                                                                                                                                                                                                                                                                    "value": "..."
                                                                                                                                                                                                                                                                  }
                                                                                                                                                                                                                                                                } 
                                                                                                                                                                                                                                                              }]
                                                                                                                                                                                                                                                              
                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                              TypeRelatedArtifact
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              138. Composition.event
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                                                                                                                                                                                                                                              ShortThe clinical service(s) being documented
                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                              The event needs to be consistent with the type element, though can provide further information if desired.

                                                                                                                                                                                                                                                              Control2..*
                                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                              Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.event. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                              • value @ detail.concept
                                                                                                                                                                                                                                                              • 140. Composition.event.id
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                142. Composition.event.extension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                144. Composition.event.modifierExtension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                146. Composition.event.period
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                                                                                                                                                                                                                                                                ShortThe period covered by the documentation
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                TypePeriod
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                  EHDSImagingReportHeader.documentMetadata.period

                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                  148. Composition.event.detail
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                                                                                                                                                                                                                                  ShortThe event(s) being documented, as code(s), reference(s), or both
                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                  An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more events are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                  BindingFor example codes, see v3 Code System ActCode
                                                                                                                                                                                                                                                                  (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

                                                                                                                                                                                                                                                                  This list of codes represents the main clinical acts being documented.

                                                                                                                                                                                                                                                                  TypeCodeableReference(Resource)
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                  150. Composition.event:imagingstudy
                                                                                                                                                                                                                                                                  Slice Nameimagingstudy
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  The type of imaging modality used to perform the study.

                                                                                                                                                                                                                                                                  ShortModality
                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                  The event needs to be consistent with the type element, though can provide further information if desired.

                                                                                                                                                                                                                                                                  Control1..*
                                                                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                    EHDSImagingReportHeader.documentMetadata.eventType, EHDSImagingReportHeader.documentMetadata.specialty, EHDSImagingReportHeader.documentMetadata.studyInstanceUid

                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    152. Composition.event:imagingstudy.id
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    154. Composition.event:imagingstudy.extension
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                    156. Composition.event:imagingstudy.modifierExtension
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                    158. Composition.event:imagingstudy.period
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                                                                                                                                                                                                                                                                    ShortThe period covered by the documentation
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    TypePeriod
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    160. Composition.event:imagingstudy.detail
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                                                                                                                                                                                                                                    ShortThe event(s) being documented, as code(s), reference(s), or both
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more events are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                                                                                                                                                                                                                                    Control1..*
                                                                                                                                                                                                                                                                    BindingUnless not suitable, these codes SHALL be taken from https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
                                                                                                                                                                                                                                                                    (extensible to https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html)
                                                                                                                                                                                                                                                                    TypeCodeableReference(IM Imaging Study)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    162. Composition.event:procedure
                                                                                                                                                                                                                                                                    Slice Nameprocedure
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The type of imaging study performed.

                                                                                                                                                                                                                                                                    ShortStudy Type
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    The event needs to be consistent with the type element, though can provide further information if desired.

                                                                                                                                                                                                                                                                    Control1..*
                                                                                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                                                      ObligationsActorDocumentation
                                                                                                                                                                                                                                                                      SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                      EHDSImagingReportHeader.documentMetadata.eventType, EHDSImagingReportHeader.documentMetadata.specialty

                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                      Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      164. Composition.event:procedure.id
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      166. Composition.event:procedure.extension
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                      168. Composition.event:procedure.modifierExtension
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                      170. Composition.event:procedure.period
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                                                                                                                                                                                                                                                                      ShortThe period covered by the documentation
                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                      TypePeriod
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      172. Composition.event:procedure.detail
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                                                                                                                                                                                                                                      ShortThe event(s) being documented, as code(s), reference(s), or both
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more events are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                                                                                                                                                                                                                                      Control1..*
                                                                                                                                                                                                                                                                      BindingUnless not suitable, these codes SHALL be taken from https://www.hl7.org/fhir/valueset-procedure-reason.html
                                                                                                                                                                                                                                                                      (extensible to https://www.hl7.org/fhir/valueset-procedure-reason.html)
                                                                                                                                                                                                                                                                      TypeCodeableReference(IM Imaging Procedure)
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      174. Composition.section
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                      ShortComposition is broken into sections
                                                                                                                                                                                                                                                                      Control8..*
                                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      eu-imaging-composition-1: When a section is empty, the emptyReason extension SHALL be present. (entry.empty() and emptyReason.exists())
                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                      • value @ code
                                                                                                                                                                                                                                                                      • 176. Composition.section.id
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        178. Composition.section.extension
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                        180. Composition.section.modifierExtension
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                        182. Composition.section.title
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        184. Composition.section.code
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        186. Composition.section.author
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        188. Composition.section.focus
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        190. Composition.section.text
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        192. Composition.section.orderedBy
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        194. Composition.section.entry
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        196. Composition.section.emptyReason
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                        (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        198. Composition.section.section
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        200. Composition.section:imagingstudy
                                                                                                                                                                                                                                                                        Slice Nameimagingstudy
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        This section holds information related to the imaging studies covered by this report.

                                                                                                                                                                                                                                                                        ShortImaging Study
                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        202. Composition.section:imagingstudy.id
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        204. Composition.section:imagingstudy.extension
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        An Extension

                                                                                                                                                                                                                                                                        ShortExtension
                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                        • 206. Composition.section:imagingstudy.extension:note
                                                                                                                                                                                                                                                                          Slice Namenote
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                          ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          208. Composition.section:imagingstudy.modifierExtension
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          210. Composition.section:imagingstudy.title
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          212. Composition.section:imagingstudy.code
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                          Pattern Value{
                                                                                                                                                                                                                                                                            "coding" : [{
                                                                                                                                                                                                                                                                              "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                              "code" : "18726-0"
                                                                                                                                                                                                                                                                            }]
                                                                                                                                                                                                                                                                          }
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          214. Composition.section:imagingstudy.author
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          216. Composition.section:imagingstudy.focus
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          218. Composition.section:imagingstudy.text
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          220. Composition.section:imagingstudy.orderedBy
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          222. Composition.section:imagingstudy.entry
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                          Control1..*
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                          • profile @ $this
                                                                                                                                                                                                                                                                          • 224. Composition.section:imagingstudy.entry:imagingstudy
                                                                                                                                                                                                                                                                            Slice Nameimagingstudy
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            This entry holds a reference to the Imaging Study instance that is associated with this Composition.

                                                                                                                                                                                                                                                                            ShortImaging Study Reference
                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                            Control1..*
                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                            TypeReference(IM Imaging Study)
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                              EHDSImagingReportHeader.documentMetadata.studyInstanceUid

                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              226. Composition.section:imagingstudy.emptyReason
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                              (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              228. Composition.section:imagingstudy.section
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              230. Composition.section:order
                                                                                                                                                                                                                                                                              Slice Nameorder
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              This section holds information related to the order for the imaging study.

                                                                                                                                                                                                                                                                              ShortOrder
                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                                                                                ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                EHDSImagingReportBody.orderInformation

                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                232. Composition.section:order.id
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                234. Composition.section:order.extension
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                An Extension

                                                                                                                                                                                                                                                                                ShortExtension
                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                                • 236. Composition.section:order.extension:note
                                                                                                                                                                                                                                                                                  Slice Namenote
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                  ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                    EHDSImagingReportBody.orderInformation.orderReasonText

                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                    238. Composition.section:order.modifierExtension
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                    240. Composition.section:order.title
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    242. Composition.section:order.code
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                    Pattern Value{
                                                                                                                                                                                                                                                                                      "coding" : [{
                                                                                                                                                                                                                                                                                        "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                        "code" : "55115-0",
                                                                                                                                                                                                                                                                                        "display" : "Requested imaging studies information Document"
                                                                                                                                                                                                                                                                                      }]
                                                                                                                                                                                                                                                                                    }
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    244. Composition.section:order.author
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    246. Composition.section:order.focus
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    248. Composition.section:order.text
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    250. Composition.section:order.orderedBy
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    252. Composition.section:order.entry
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                    • profile @ $this
                                                                                                                                                                                                                                                                                    • 254. Composition.section:order.entry:order
                                                                                                                                                                                                                                                                                      Slice Nameorder
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      This entry holds a reference to the order for the Imaging Study and report.

                                                                                                                                                                                                                                                                                      ShortOrder reference
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                      TypeReference(IM Imaging Order)
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                        EHDSImagingReportBody.orderInformation.orderId, EHDSImagingReportBody.serviceRequest

                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        256. Composition.section:order.emptyReason
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                        (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        258. Composition.section:order.section
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        260. Composition.section:history
                                                                                                                                                                                                                                                                                        Slice Namehistory
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                        ShortHistory
                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        262. Composition.section:history.id
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        264. Composition.section:history.extension
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        An Extension

                                                                                                                                                                                                                                                                                        ShortExtension
                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                                        • 266. Composition.section:history.extension:note
                                                                                                                                                                                                                                                                                          Slice Namenote
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                          ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                          268. Composition.section:history.modifierExtension
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                          270. Composition.section:history.title
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          272. Composition.section:history.code
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                          Pattern Value{
                                                                                                                                                                                                                                                                                            "coding" : [{
                                                                                                                                                                                                                                                                                              "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                              "code" : "11329-0",
                                                                                                                                                                                                                                                                                              "display" : "History general Narrative - Reported"
                                                                                                                                                                                                                                                                                            }]
                                                                                                                                                                                                                                                                                          }
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          274. Composition.section:history.author
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          276. Composition.section:history.focus
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          278. Composition.section:history.text
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          280. Composition.section:history.orderedBy
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          282. Composition.section:history.entry
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                            EHDSImagingReportBody.orderInformation.supportingInformation, EHDSImagingReportBody.orderInformation.supportingInformation.observation, EHDSImagingReportBody.orderInformation.supportingInformation.condition, EHDSImagingReportBody.orderInformation.supportingInformation.medicationAdministration, EHDSImagingReportBody.orderInformation.supportingInformation.devices, EHDSImagingReportBody.orderInformation.supportingInformation.pregnancyStatus, EHDSImagingReportBody.orderInformation.supportingInformation.gestationalAge, EHDSImagingReportBody.orderInformation.supportingInformation.otherSupportingInformation

                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            284. Composition.section:history.emptyReason
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                            (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            286. Composition.section:history.section
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            288. Composition.section:procedure
                                                                                                                                                                                                                                                                                            Slice Nameprocedure
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                            ShortProcedure
                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            290. Composition.section:procedure.id
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            292. Composition.section:procedure.extension
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            An Extension

                                                                                                                                                                                                                                                                                            ShortExtension
                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                                                            • 294. Composition.section:procedure.extension:note
                                                                                                                                                                                                                                                                                              Slice Namenote
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                              ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                              296. Composition.section:procedure.modifierExtension
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                              298. Composition.section:procedure.title
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              300. Composition.section:procedure.code
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                              Pattern Value{
                                                                                                                                                                                                                                                                                                "coding" : [{
                                                                                                                                                                                                                                                                                                  "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                                  "code" : "55111-9",
                                                                                                                                                                                                                                                                                                  "display" : "Current imaging procedure descriptions Document"
                                                                                                                                                                                                                                                                                                }]
                                                                                                                                                                                                                                                                                              }
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              302. Composition.section:procedure.author
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              304. Composition.section:procedure.focus
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              306. Composition.section:procedure.text
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              308. Composition.section:procedure.orderedBy
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              310. Composition.section:procedure.entry
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                              • profile @ $this
                                                                                                                                                                                                                                                                                              • 312. Composition.section:procedure.entry:procedure
                                                                                                                                                                                                                                                                                                Slice Nameprocedure
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                TypeReference(IM Imaging Procedure)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                  EHDSImagingReportBody.examinationReport.imagingProcedures, EHDSImagingReportBody.examinationReport.medication

                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  314. Composition.section:procedure.emptyReason
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                                  (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  316. Composition.section:procedure.section
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  318. Composition.section:comparison
                                                                                                                                                                                                                                                                                                  Slice Namecomparison
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                                  ShortHistory
                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  320. Composition.section:comparison.id
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  322. Composition.section:comparison.extension
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  An Extension

                                                                                                                                                                                                                                                                                                  ShortExtension
                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                                                  • 324. Composition.section:comparison.extension:note
                                                                                                                                                                                                                                                                                                    Slice Namenote
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                                    ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                    326. Composition.section:comparison.modifierExtension
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                    328. Composition.section:comparison.title
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    330. Composition.section:comparison.code
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                    Pattern Value{
                                                                                                                                                                                                                                                                                                      "coding" : [{
                                                                                                                                                                                                                                                                                                        "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                                        "code" : "18834-2",
                                                                                                                                                                                                                                                                                                        "display" : "Radiology Comparison study (narrative)"
                                                                                                                                                                                                                                                                                                      }]
                                                                                                                                                                                                                                                                                                    }
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    332. Composition.section:comparison.author
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    334. Composition.section:comparison.focus
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    336. Composition.section:comparison.text
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    338. Composition.section:comparison.orderedBy
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    340. Composition.section:comparison.entry
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                    • profile @ $this
                                                                                                                                                                                                                                                                                                    • 342. Composition.section:comparison.entry:comparedstudy
                                                                                                                                                                                                                                                                                                      Slice Namecomparedstudy
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                      TypeReference(IM Imaging Study, Imaging Selection)
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                                                                        ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                        SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                        EHDSImagingReport.imagingReportAttachments[x], EHDSImagingReportBody.comparisonStudy

                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        344. Composition.section:comparison.emptyReason
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                                        (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        346. Composition.section:comparison.section
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        348. Composition.section:findings
                                                                                                                                                                                                                                                                                                        Slice Namefindings
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                                        ShortFindings
                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                          EHDSImagingReportBody.examinationReport.resultData

                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          350. Composition.section:findings.id
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          352. Composition.section:findings.extension
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          An Extension

                                                                                                                                                                                                                                                                                                          ShortExtension
                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                                                          • 354. Composition.section:findings.extension:note
                                                                                                                                                                                                                                                                                                            Slice Namenote
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                                            ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                            TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                              EHDSImagingReportBody.examinationReport.resultData.resultText

                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                              356. Composition.section:findings.modifierExtension
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                              358. Composition.section:findings.title
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              360. Composition.section:findings.code
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                              Pattern Value{
                                                                                                                                                                                                                                                                                                                "coding" : [{
                                                                                                                                                                                                                                                                                                                  "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                                                  "code" : "59776-5",
                                                                                                                                                                                                                                                                                                                  "display" : "Findings"
                                                                                                                                                                                                                                                                                                                }]
                                                                                                                                                                                                                                                                                                              }
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              362. Composition.section:findings.author
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              364. Composition.section:findings.focus
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              366. Composition.section:findings.text
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              368. Composition.section:findings.orderedBy
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              370. Composition.section:findings.entry
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                              • profile @ $this
                                                                                                                                                                                                                                                                                                              • 372. Composition.section:findings.entry:finding
                                                                                                                                                                                                                                                                                                                Slice Namefinding
                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                TypeReference(Finding)
                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                                                                                  ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                                  SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                                  EHDSImagingReportBody.examinationReport.resultData.observationResults

                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  374. Composition.section:findings.entry:keyimage
                                                                                                                                                                                                                                                                                                                  Slice Namekeyimage
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                  TypeReference(Imaging Key Image Document Reference, Key images represented as an ImagingSelection for R4)
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  376. Composition.section:findings.emptyReason
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                                                  (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  378. Composition.section:findings.section
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  380. Composition.section:impression
                                                                                                                                                                                                                                                                                                                  Slice Nameimpression
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                                                  ShortImpressions
                                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                                    EHDSImagingReportBody.examinationReport.conclusion

                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    382. Composition.section:impression.id
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    384. Composition.section:impression.extension
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    An Extension

                                                                                                                                                                                                                                                                                                                    ShortExtension
                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                                                                                    • 386. Composition.section:impression.extension:note
                                                                                                                                                                                                                                                                                                                      Slice Namenote
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                                                      ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                      TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                      388. Composition.section:impression.modifierExtension
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                      390. Composition.section:impression.title
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      392. Composition.section:impression.code
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                      Pattern Value{
                                                                                                                                                                                                                                                                                                                        "coding" : [{
                                                                                                                                                                                                                                                                                                                          "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                                                          "code" : "19005-8",
                                                                                                                                                                                                                                                                                                                          "display" : "Radiology Imaging study [Impression] (narrative)"
                                                                                                                                                                                                                                                                                                                        }]
                                                                                                                                                                                                                                                                                                                      }
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      394. Composition.section:impression.author
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      396. Composition.section:impression.focus
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      398. Composition.section:impression.text
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      400. Composition.section:impression.orderedBy
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      402. Composition.section:impression.entry
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                      • profile @ $this
                                                                                                                                                                                                                                                                                                                      • 404. Composition.section:impression.entry:finding
                                                                                                                                                                                                                                                                                                                        Slice Namefinding
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                        TypeReference(Finding)
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                                                                                          ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                                          SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                                          EHDSImagingReportBody.examinationReport.conclusion.conditionOrFinding[x]

                                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                          406. Composition.section:impression.entry:impression
                                                                                                                                                                                                                                                                                                                          Slice Nameimpression
                                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                          TypeReference(EU Condition)
                                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                                                                                            ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                                            SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                                            EHDSImagingReportBody.examinationReport.conclusion.conditionOrFinding[x]

                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            408. Composition.section:impression.entry:keyimage
                                                                                                                                                                                                                                                                                                                            Slice Namekeyimage
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                            TypeReference(Imaging Key Image Document Reference, Key images represented as an ImagingSelection for R4)
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            410. Composition.section:impression.emptyReason
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                                                            (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            412. Composition.section:impression.section
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            414. Composition.section:recommendation
                                                                                                                                                                                                                                                                                                                            Slice Namerecommendation
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                                                            ShortRecommendations
                                                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                                                                                              ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                                              SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                                              EHDSImagingReportBody.recommendation

                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                                                              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              416. Composition.section:recommendation.id
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              418. Composition.section:recommendation.extension
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              An Extension

                                                                                                                                                                                                                                                                                                                              ShortExtension
                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                                                                                              • 420. Composition.section:recommendation.extension:note
                                                                                                                                                                                                                                                                                                                                Slice Namenote
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                                                                ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                                TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                                422. Composition.section:recommendation.modifierExtension
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                                424. Composition.section:recommendation.title
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                                ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                426. Composition.section:recommendation.code
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                                Pattern Value{
                                                                                                                                                                                                                                                                                                                                  "coding" : [{
                                                                                                                                                                                                                                                                                                                                    "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                                                                    "code" : "18783-1",
                                                                                                                                                                                                                                                                                                                                    "display" : "Radiology Study recommendation (narrative)"
                                                                                                                                                                                                                                                                                                                                  }]
                                                                                                                                                                                                                                                                                                                                }
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                428. Composition.section:recommendation.author
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                430. Composition.section:recommendation.focus
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                432. Composition.section:recommendation.text
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                434. Composition.section:recommendation.orderedBy
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                436. Composition.section:recommendation.entry
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                                • profile @ $this
                                                                                                                                                                                                                                                                                                                                • 438. Composition.section:recommendation.entry:careplan
                                                                                                                                                                                                                                                                                                                                  Slice Namecareplan
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                                  TypeReference(EU CarePlan)
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                                                                                                                    SHALL:populate-if-knownImaging study report provider

                                                                                                                                                                                                                                                                                                                                    EHDSImagingReportBody.recommendation.carePlan

                                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                    440. Composition.section:recommendation.emptyReason
                                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                                                                    (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                    442. Composition.section:recommendation.section
                                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                    444. Composition.section:communication
                                                                                                                                                                                                                                                                                                                                    Slice Namecommunication
                                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                                    The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                                                                    ShortCommunications
                                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                                                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                    446. Composition.section:communication.id
                                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                                    448. Composition.section:communication.extension
                                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                                    An Extension

                                                                                                                                                                                                                                                                                                                                    ShortExtension
                                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                                                                                                    • 450. Composition.section:communication.extension:note
                                                                                                                                                                                                                                                                                                                                      Slice Namenote
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      Additional notes that apply to this resource or element.

                                                                                                                                                                                                                                                                                                                                      ShortAdditional notes that apply to this resource or element.
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

                                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                                      TypeExtension(Note) (Extension Type: Annotation)
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                                      452. Composition.section:communication.modifierExtension
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                                      454. Composition.section:communication.title
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      456. Composition.section:communication.code
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                                                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                                      Pattern Value{
                                                                                                                                                                                                                                                                                                                                        "coding" : [{
                                                                                                                                                                                                                                                                                                                                          "system" : "http://loinc.org",
                                                                                                                                                                                                                                                                                                                                          "code" : "18783-1",
                                                                                                                                                                                                                                                                                                                                          "display" : "Radiology Study recommendation (narrative)"
                                                                                                                                                                                                                                                                                                                                        }]
                                                                                                                                                                                                                                                                                                                                      }
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      458. Composition.section:communication.author
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      460. Composition.section:communication.focus
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      462. Composition.section:communication.text
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      464. Composition.section:communication.orderedBy
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                                                                                                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      466. Composition.section:communication.entry
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      468. Composition.section:communication.emptyReason
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from Reasons a section in an imaging report is empty.
                                                                                                                                                                                                                                                                                                                                      (preferred to http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason)
                                                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                      470. Composition.section:communication.section
                                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))