Breast Radiology Reporting

Breast Radiology Reporting

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BreastRadiologyDocument

The official URL for this profile is:

http://www.cimi.com/fhir/StructureDefinition/breastrad-BreastRadiologyDocument

Breast Radiology Report

This profile builds on Composition.

This profile was published on Wed Jul 17 00:00:00 CDT 2019 as a draft by Hl7.

Name	Flags	Card.	Type	Description & Constraints
Composition				breastrad-BreastRadiologyDocument
extension		2..*		Slice: Unordered, Open by value:url
breastrad-SummaryBiRadCode-extension		1..1	CodeableConcept	SummaryBiRadCode URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-SummaryBiRadCode-extension Binding: BiRadCodeVs (required)
breastrad-BreastExamTechnique-extension		1..*	CodeableConcept	BreastExamTechnique URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-BreastExamTechnique-extension Binding: DiagnosticTechniqueVs (required)
category		0..1
subject		1..1
encounter			Reference(obf-Encounter)
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
attester
party			Reference(obf-Patient \| obf-Practitioner \| obf-RelatedPerson \| obf-Organization \| US Core PractitionerRole Profile)
custodian			Reference(obf-Organization)
relatesTo
target[x]			Identifier, Reference(obf-Composition)
section				Slice: Unordered, Open by value:code
section		0..1		PatientHistory: Patient History Section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 34117-2
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..0
section		0..1		Findings: Findings section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 34117-2
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..1		Impressions: Clinical Impressions Section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 19005-8
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..0
section		0..1		Recommendations: Recommendations Section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 18783-1
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition	I	0..*		breastrad-BreastRadiologyDocument
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
breastrad-SummaryBiRadCode-extension		1..1	CodeableConcept	SummaryBiRadCode URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-SummaryBiRadCode-extension Binding: BiRadCodeVs (required)
breastrad-BreastExamTechnique-extension		1..*	CodeableConcept	BreastExamTechnique URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-BreastExamTechnique-extension Binding: DiagnosticTechniqueVs (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required)
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
category	Σ	0..1	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example)
subject	Σ	1..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(obf-Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required)
attester	I	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required)
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(obf-Patient \| obf-Practitioner \| obf-RelatedPerson \| obf-Organization \| US Core PractitionerRole Profile)	Who attested the composition
custodian	Σ	0..1	Reference(obf-Organization)	Organization which maintains the composition
relatesTo	I	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required)
target[x]		1..1	Identifier, Reference(obf-Composition)	Target of the relationship
event	ΣI	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example)
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	I		BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section	I	0..1	BackboneElement	PatientHistory: Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 34117-2
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..1	BackboneElement	Findings: Findings section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 34117-2
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
author		0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section Nested Section
section	I	0..1	BackboneElement	Impressions: Clinical Impressions Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..1	BackboneElement	Recommendations: Recommendations Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
Documentation for this format

Summary

Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 8 elements
Prohibited: 11 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Mapping Source

This structure represents the following mapping definition:

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

Differential View

Name	Flags	Card.	Type	Description & Constraints
Composition				breastrad-BreastRadiologyDocument
extension		2..*		Slice: Unordered, Open by value:url
breastrad-SummaryBiRadCode-extension		1..1	CodeableConcept	SummaryBiRadCode URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-SummaryBiRadCode-extension Binding: BiRadCodeVs (required)
breastrad-BreastExamTechnique-extension		1..*	CodeableConcept	BreastExamTechnique URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-BreastExamTechnique-extension Binding: DiagnosticTechniqueVs (required)
category		0..1
subject		1..1
encounter			Reference(obf-Encounter)
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
attester
party			Reference(obf-Patient \| obf-Practitioner \| obf-RelatedPerson \| obf-Organization \| US Core PractitionerRole Profile)
custodian			Reference(obf-Organization)
relatesTo
target[x]			Identifier, Reference(obf-Composition)
section				Slice: Unordered, Open by value:code
section		0..1		PatientHistory: Patient History Section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 34117-2
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..0
section		0..1		Findings: Findings section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 34117-2
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..1		Impressions: Clinical Impressions Section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 19005-8
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..0
section		0..1		Recommendations: Recommendations Section
code
coding				Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
system				Fixed Value: http://loinc.org
code				Fixed Value: 18783-1
author			Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)
focus		0..0
orderedBy		0..0
section		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	I	0..*		breastrad-BreastRadiologyDocument
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
breastrad-SummaryBiRadCode-extension		1..1	CodeableConcept	SummaryBiRadCode URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-SummaryBiRadCode-extension Binding: BiRadCodeVs (required)
breastrad-BreastExamTechnique-extension		1..*	CodeableConcept	BreastExamTechnique URL: http://www.cimi.com/fhir/StructureDefinition/breastrad-BreastExamTechnique-extension Binding: DiagnosticTechniqueVs (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required)
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
category	Σ	0..1	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example)
subject	Σ	1..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(obf-Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required)
attester	I	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required)
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(obf-Patient \| obf-Practitioner \| obf-RelatedPerson \| obf-Organization \| US Core PractitionerRole Profile)	Who attested the composition
custodian	Σ	0..1	Reference(obf-Organization)	Organization which maintains the composition
relatesTo	I	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required)
target[x]		1..1	Identifier, Reference(obf-Composition)	Target of the relationship
event	ΣI	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example)
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	I		BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section	I	0..1	BackboneElement	PatientHistory: Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 34117-2
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..1	BackboneElement	Findings: Findings section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 34117-2
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
author		0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section Nested Section
section	I	0..1	BackboneElement	Impressions: Clinical Impressions Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 19005-8
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..1	BackboneElement	Recommendations: Recommendations Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ		Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 18783-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(obf-Practitioner \| US Core PractitionerRole Profile \| obf-Device \| obf-Patient \| obf-RelatedPerson \| obf-Organization)	Who and/or what authored the section
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
Documentation for this format

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

Terminology Bindings

Path	Conformance	ValueSet
Composition:breastrad-BreastRadiologyDocument.language	preferred	CommonLanguages Max Binding: AllLanguages
Composition:breastrad-BreastRadiologyDocument.status	required	CompositionStatus
Composition:breastrad-BreastRadiologyDocument.type	preferred	FHIRDocumentTypeCodes
Composition:breastrad-BreastRadiologyDocument.category	example	DocumentClassValueSet
Composition:breastrad-BreastRadiologyDocument.confidentiality	required	v3.ConfidentialityClassification
Composition:breastrad-BreastRadiologyDocument.attester.mode	required	CompositionAttestationMode
Composition:breastrad-BreastRadiologyDocument.relatesTo.code	required	DocumentRelationshipType
Composition:breastrad-BreastRadiologyDocument.event.code	example	v3.ActCode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.section.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.section.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.section.orderedBy	preferred	ListOrderCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-PatientHistory.section.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.section.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.section.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.section.orderedBy	preferred	ListOrderCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Findings.section.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.section.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.section.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.section.orderedBy	preferred	ListOrderCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Impressions.section.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.emptyReason	preferred	ListEmptyReasons
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.section.code	example	DocumentSectionCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.section.mode	required	ListMode
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.section.orderedBy	preferred	ListOrderCodes
Composition:breastrad-BreastRadiologyDocument.section:breastrad-Recommendations.section.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Path	Details	Requirements
dom-2	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-4	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6	Composition	A resource should have narrative for robust management : text.div.exists()
dom-5	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
ele-1	Composition.attester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.relatesTo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()

©2019+ Hl7. Package hl7.fhir.us.brr#0.1 based on FHIR 4.0.0. Generated 2019-07-17.
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