description: This profile constrains the Composition resource for the purpose of laboratory test reports in Switzerland.
package_name: ch.fhir.ig.ch-lab-report
derivation: constraint
name: ChLabReportComposition
type: Composition
elements:
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        information-recipient:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.eu/fhir/StructureDefinition/information-recipient
            index: 1
            elements:
              value:
                choices: [valueReference]
                index: 3
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-patient', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitioner', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitionerrole', 'http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
                index: 4
        basedOn-order-or-requisition:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
            index: 5
            elements:
              value:
                choices: []
                index: 7
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this, type: type}
                  min: null
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        choices: [valueReference]
                        index: 9
                      min: 0
                      max: 1
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-servicerequest']
                index: 10
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        type: Reference
                        choiceOf: value
                        refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-servicerequest']
                        index: 10
                      min: 0
                      max: 1
        diagnosticReport-reference:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
            index: 11
            elements:
              value:
                choices: [valueReference]
                index: 13
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-diagnosticreport']
                index: 14
              value[x]:
                elements:
                  reference: {index: 15}
                required: [reference]
            required: [valueReference, value]
  identifier: {short: Report identifier, index: 16}
  category:
    short: Report Category
    index: 17
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: null
      slices:
        studyType:
          match: {}
          schema:
            type: CodeableConcept
            short: The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
            binding: {strength: required, valueSet: 'http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab'}
            array: true
            index: 18
          min: 0
        specialty:
          match: {}
          schema:
            type: CodeableConcept
            short: The way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles)
            binding: {strength: required, valueSet: 'http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab'}
            array: true
            index: 19
          min: 0
  subject:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-patient']
    index: 20
  author:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitioner', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitionerrole']
    index: 21
  custodian: {index: 22}
  section:
    index: 23
    elements:
      title: {index: 24}
      code: {index: 25}
    required: [title, code]
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this.section, type: exists}
      - {path: $this.entry, type: exists}
      min: 1
      slices:
        lab-no-subsections:
          match: {}
          schema:
            short: 'Variant 1: EU Laboratory Report section with entries and no sub-sections'
            array: true
            index: 26
            elements:
              code:
                binding: {strength: preferred, valueSet: 'http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab'}
                index: 27
              text: {short: 'Text summary of the section, for human interpretation.', index: 28}
              entry:
                type: Reference
                refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-results-laboratory']
                index: 29
              section: {index: 30}
            required: [entry]
        lab-subsections:
          match: {}
          schema:
            short: 'Variant 2: EU Laboratory Report section with one to many subsections Laboratory Report Item'
            array: true
            index: 31
            elements:
              code:
                binding: {strength: preferred, valueSet: 'http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab'}
                index: 32
              text: {index: 33}
              entry: {index: 34}
              section:
                type: BackboneElement
                index: 35
                elements:
                  title: {index: 36}
                  code:
                    binding: {strength: preferred, valueSet: 'http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab'}
                    index: 37
                  text: {short: 'Text summary of the section, for human interpretation.', index: 38}
                  entry:
                    type: Reference
                    refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-results-laboratory']
                    index: 39
                  section: {index: 40}
                required: [entry, title, code]
            required: [section]
        annotations:
          match: {}
          schema:
            short: Annotation comment
            array: true
            index: 41
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 48767-8, system: 'http://loinc.org'}
                index: 42
              text: {index: 43}
              entry: {index: 44}
              section: {index: 45}
            required: [text]
package_version: 1.0.0
extensions:
  information-recipient:
    url: http://hl7.eu/fhir/StructureDefinition/information-recipient
    type: Extension
    index: 1
    elements:
      value:
        choices: [valueReference]
        index: 3
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-patient', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitioner', 'http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-practitionerrole', 'http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
        index: 4
  basedOn-order-or-requisition:
    url: http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
    type: Extension
    index: 5
    elements:
      value:
        choices: []
        index: 7
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            valueReference:
              match: {}
              schema:
                choices: [valueReference]
                index: 9
              min: 0
              max: 1
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-servicerequest']
        index: 10
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                type: Reference
                choiceOf: value
                refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-servicerequest']
                index: 10
              min: 0
              max: 1
  diagnosticReport-reference:
    url: http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
    type: Extension
    index: 11
    elements:
      value:
        choices: [valueReference]
        index: 13
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-diagnosticreport']
        index: 14
      value[x]:
        elements:
          reference: {index: 15}
        required: [reference]
    required: [valueReference, value]
class: profile
kind: resource
url: http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-report-composition
base: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-composition
version: 1.0.0
required: [section]