Laboratory Report Composition - England Pathology and Laboratory Medicine (PaLM) Technical Framework v0.1.0

England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Laboratory Report Composition

Official URL: https://examplesihe.org.uk/StructureDefinition/LaboratoryReportComposition				Version: 0.1.0	Highlight text changes?
Draft as of 2026-11-04					Computable Name: LaboratoryReportComposition

Diagnostic - Laboratory Document The header of a laboratory report FHIR Document. NHS England's Pathology Laboratory Reporting API reads the patient's NHS Number from Composition.subject.identifier.

Usages:

Use this Profile: Bundle - Laboratory Report Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
Composition.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Composition.Slices for extension				Content/Rules for all slices
Composition.Slices for extension.extension:version		0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
Composition.Slices for extension.extension:version.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Composition.Slices for extension.extension:version.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
Composition.Slices for extension.extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
Composition.Slices for extension.extension:informationRecipient.extension		0..0		Extension Slice: Unordered, Open by value:url
Composition.Slices for extension.extension:informationRecipient.url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
Composition.Slices for extension.extension:diagnosticReport		0..1	Reference(DiagnosticReport)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
Composition.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Composition.identifier	This element must be supported. This element is included in summaries.	1..1	CorrelationIdentifier	Report identifier
Composition.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Composition.type	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Type of (Laboratory) Report Binding: Laboratory Report Types (preferred)
Composition.Slices for category	This element is included in summaries.	0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Composition.Slices for category.category:studyType	This element is included in summaries.	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
Composition.Slices for category.category:specialty	This element is included in summaries.	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
Composition.subject	This element must be supported. This element is included in summaries.	1..1	Reference(Patient)	Who and/or what the composition is about
Composition.subject.identifier	This element must be supported. This element is included in summaries.	1..1	NHSIdentifier	NHS Number - required by the NHS England Pathology Laboratory Reporting API
Composition.date	This element must be supported. This element is included in summaries.	1..1	dateTime	Composition editing time
Composition.author	This element must be supported. This element is included in summaries.	1..*	Reference(Organization \| PractitionerRole \| Practitioner)	Who and/or what authored the composition
Composition.title	This element must be supported. This element is included in summaries.	1..1	string	Laboratory Report
Composition.Slices for attester		0..*	BackboneElement	Attests the report accuracy Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.Slices for attester.attester:All Slices				Content/Rules for all slices
Composition.Slices for attester.attester:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for attester.attester:All Slices.mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Composition.Slices for attester.attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
Composition.Slices for attester.attester:legalAuthenticator.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for attester.attester:legalAuthenticator.mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed)
Composition.Slices for attester.attester:legalAuthenticator.time		1..1	dateTime	When the composition was attested
Composition.Slices for attester.attester:legalAuthenticator.party		1..1	Reference(PractitionerRole (EU core) \| Practitioner (EU core))	Who attested the composition
Composition.Slices for attester.attester:validator		0..*	BackboneElement	Attests to accuracy of composition
Composition.Slices for attester.attester:validator.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for attester.attester:validator.mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed)
Composition.Slices for attester.attester:validator.time		1..1	dateTime	When the composition was attested
Composition.Slices for attester.attester:validator.party		1..1	Reference(PractitionerRole (EU core) \| Practitioner (EU core))	Who attested the composition
Composition.custodian	This element must be supported. This element is included in summaries.	0..1	Reference(Organization)	Organization which maintains the composition
Composition.Slices for section	This element must be supported. C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:$this.code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.Slices for section.section:All Slices				Content/Rules for all slices
Composition.Slices for section.section:All Slices.Slices for extension				Content/Rules for all slices
Composition.Slices for section.section:All Slices.Slices for extension.extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
Composition.Slices for section.section:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for section.section:All Slices.title		1..1	string	Label for section (e.g. for ToC)
Composition.Slices for section.section:All Slices.code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Composition.Slices for section.section:All Slices.text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Composition.Slices for section.section:All Slices.entry	C	0..*	Reference(Laboratory Report \| Laboratory Result)	A reference to data that supports this section
Composition.Slices for section.section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
Composition.Slices for section.section:annotations.Slices for extension				Content/Rules for all slices
Composition.Slices for section.section:annotations.Slices for extension.extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
Composition.Slices for section.section:annotations.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for section.section:annotations.title		1..1	string	Label for section (e.g. for ToC)
Composition.Slices for section.section:annotations.code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "48767-8" } ] }`
Composition.Slices for section.section:annotations.text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.category:specialty	Base	required	Laboratory Specialty	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.attester.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections	`text.exists() or entry.exists() or section.exists()`
cmp-2	error	Composition.section, Composition.section:annotations	A section can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:annotations.extension:section-note, Composition.section:annotations.modifierExtension	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from CompositionLabReportEu

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition			CompositionLabReportEu
Composition.identifier	This element must be supported.	1..1	CorrelationIdentifier	Report identifier
Composition.status	This element must be supported.	1..1	code	preliminary \| final \| amended \| entered-in-error
Composition.type	This element must be supported.	1..1	CodeableConcept	Type of (Laboratory) Report
Composition.subject	This element must be supported.	1..1	Reference(Patient)	Who and/or what the composition is about
Composition.subject.identifier	This element must be supported.	1..1	NHSIdentifier	NHS Number - required by the NHS England Pathology Laboratory Reporting API
Composition.date	This element must be supported.	1..1	dateTime	Composition editing time
Composition.author	This element must be supported.	1..*	Reference(Organization \| PractitionerRole \| Practitioner)	Who and/or what authored the composition
Composition.title	This element must be supported.	1..1	string	Laboratory Report
Composition.custodian	This element must be supported.	0..1	Reference(Organization)	Organization which maintains the composition
Composition.section	This element must be supported.	1..*	BackboneElement	Composition is broken into sections
Composition.section.entry		0..*	Reference(Laboratory Report \| Laboratory Result)	A reference to data that supports this section
Composition.Slices for section				Content/Rules for all slices
Composition.Slices for section.section:annotations		0..*	BackboneElement	Annotation comment
Composition.Slices for section.section:annotations.entry		0..0	Reference(Laboratory Report \| Laboratory Result)	A reference to data that supports this section
Documentation for this format

Description & Constraints Filter:

Composition 0..* CompositionLabReportEu Laboratory Report composition

Composition.id This element is included in summaries. 0..1 id Logical id of this artifact

Composition.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Composition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the composition content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Composition.text 0..1 Narrative Narrative text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.contained 0..* Resource Contained, inline Resources

Composition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:version 0..1 (Complex) R5: An explicitly assigned identifer of a variation of the content in the Composition (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1

Composition.Slices for extension.extension:version.id 0..1 string Unique id for inter-element referencing

Composition.Slices for extension.extension:version.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Composition.Slices for extension.extension:version.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"

Composition.Slices for extension.extension:version.value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the Composition

Composition.Slices for extension.extension:informationRecipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient

Composition.Slices for extension.extension:informationRecipient.id 0..1 string Unique id for inter-element referencing

Composition.Slices for extension.extension:informationRecipient.extension 0..0 Extension
Slice: Unordered, Open by value:url

Composition.Slices for extension.extension:informationRecipient.url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"

Composition.Slices for extension.extension:diagnosticReport 0..1 Reference(DiagnosticReport) Document DiagnosticReport Reference
URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference

Composition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Composition.identifier This element must be supported. This element is included in summaries. 1..1 CorrelationIdentifier Report identifier

Composition.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Composition.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)

Composition.Slices for category This element is included in summaries. 0..* CodeableConcept Report Category
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Composition.Slices for category.category:studyType This element is included in summaries. 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)

Composition.Slices for category.category:specialty This element is included in summaries. 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)

Composition.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) Who and/or what the composition is about

Composition.subject.id 0..1 string Unique id for inter-element referencing

Composition.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Composition.subject.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Composition.subject.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

Composition.subject.identifier This element must be supported. This element is included in summaries. 1..1 NHSIdentifier NHS Number - required by the NHS England Pathology Laboratory Reporting API

Composition.subject.display This element is included in summaries. 0..1 string Text alternative for the resource

Composition.encounter This element is included in summaries. 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).

Composition.date This element must be supported. This element is included in summaries. 1..1 dateTime Composition editing time

Composition.author This element must be supported. This element is included in summaries. 1..* Reference(Organization | PractitionerRole | Practitioner) Who and/or what authored the composition

Composition.title This element must be supported. This element is included in summaries. 1..1 string Laboratory Report

Composition.confidentiality This element is included in summaries. 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

Composition.Slices for attester 0..* BackboneElement Attests the report accuracy
Slice: Unordered, Open by value:mode

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Composition.Slices for attester.attester:All Slices Content/Rules for all slices

Composition.Slices for attester.attester:All Slices.id 0..1 string Unique id for inter-element referencing

Composition.Slices for attester.attester:All Slices.extension 0..* Extension Additional content defined by implementations

Composition.Slices for attester.attester:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for attester.attester:All Slices.mode 1..1 code The type of attestation
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

Composition.Slices for attester.attester:All Slices.time 0..1 dateTime When the report was attested by the party

Composition.Slices for attester.attester:All Slices.party 0..1 Reference(Patient (EU core) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the report

Composition.Slices for attester.attester:legalAuthenticator 0..* BackboneElement Attests to accuracy of composition

Composition.Slices for attester.attester:legalAuthenticator.id 0..1 string Unique id for inter-element referencing

Composition.Slices for attester.attester:legalAuthenticator.extension 0..* Extension Additional content defined by implementations

Composition.Slices for attester.attester:legalAuthenticator.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for attester.attester:legalAuthenticator.mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: legal (extensions allowed)

Composition.Slices for attester.attester:legalAuthenticator.time 1..1 dateTime When the composition was attested

Composition.Slices for attester.attester:legalAuthenticator.party 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core)) Who attested the composition

Composition.Slices for attester.attester:validator 0..* BackboneElement Attests to accuracy of composition

Composition.Slices for attester.attester:validator.id 0..1 string Unique id for inter-element referencing

Composition.Slices for attester.attester:validator.extension 0..* Extension Additional content defined by implementations

Composition.Slices for attester.attester:validator.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for attester.attester:validator.mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Required Pattern: professional (extensions allowed)

Composition.Slices for attester.attester:validator.time 1..1 dateTime When the composition was attested

Composition.Slices for attester.attester:validator.party 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core)) Who attested the composition

Composition.custodian This element must be supported. This element is included in summaries. 0..1 Reference(Organization) Organization which maintains the composition

Composition.relatesTo 0..* BackboneElement Relationships to other compositions/documents

Composition.relatesTo.id 0..1 string Unique id for inter-element referencing

Composition.relatesTo.extension 0..* Extension Additional content defined by implementations

Composition.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.relatesTo.code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

Composition.relatesTo.target[x] 1..1 Target of the relationship

Composition.relatesTo.target[x].targetIdentifier Identifier

Composition.relatesTo.target[x].targetReference Reference(Composition)

Composition.event This element is included in summaries. 0..* BackboneElement The laboratory service(s) being documented

Composition.event.id 0..1 string Unique id for inter-element referencing

Composition.event.extension 0..* Extension Additional content defined by implementations

Composition.event.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.event.code This element is included in summaries. 0..* CodeableConcept Code(s) that apply to the laboratory service(s) being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Composition.event.period This element is included in summaries. 0..1 Period Period of time covered by the documentation

Composition.event.detail This element is included in summaries. 0..* Reference(Resource) The laboratory service(s) being documented

Composition.Slices for section This element must be supported. C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:$this.code
Constraints: cmp-1, cmp-2

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Composition.Slices for section.section:All Slices Content/Rules for all slices

Composition.Slices for section.section:All Slices.id 0..1 string Unique id for inter-element referencing

Composition.Slices for section.section:All Slices.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Composition.Slices for section.section:All Slices.Slices for extension.extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note

Composition.Slices for section.section:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for section.section:All Slices.title 1..1 string Label for section (e.g. for ToC)

Composition.Slices for section.section:All Slices.code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Composition.Slices for section.section:All Slices.focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition

Composition.Slices for section.section:All Slices.text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.Slices for section.section:All Slices.mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Composition.Slices for section.section:All Slices.orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

Composition.Slices for section.section:All Slices.entry C 0..* Reference(Laboratory Report | Laboratory Result) A reference to data that supports this section

Composition.Slices for section.section:All Slices.emptyReason C 0..1 CodeableConcept Empty reason
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Composition.Slices for section.section:All Slices.section C 0..* See section (Composition) Nested Section

Composition.Slices for section.section:annotations C 0..* BackboneElement Annotation comment
Constraints: cmp-1, cmp-2

Composition.Slices for section.section:annotations.id 0..1 string Unique id for inter-element referencing

Composition.Slices for section.section:annotations.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Composition.Slices for section.section:annotations.Slices for extension Content/Rules for all slices

Composition.Slices for section.section:annotations.Slices for extension.extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note

Composition.Slices for section.section:annotations.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.Slices for section.section:annotations.title 1..1 string Label for section (e.g. for ToC)

code

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "48767-8"
    }
  ]
}

Composition.Slices for section.section:annotations.focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition

Composition.Slices for section.section:annotations.text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.Slices for section.section:annotations.mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Composition.Slices for section.section:annotations.orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

Composition.Slices for section.section:annotations.emptyReason C 0..1 CodeableConcept Empty reason
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.category:specialty	Base	required	Laboratory Specialty	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.5
Composition.section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotations.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotations.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections	`text.exists() or entry.exists() or section.exists()`
cmp-2	error	Composition.section, Composition.section:annotations	A section can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from CompositionLabReportEu

Summary

Mandatory: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition		0..*	CompositionLabReportEu	Laboratory Report composition
Composition.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Composition.Slices for extension				Content/Rules for all slices
Composition.Slices for extension.extension:version		0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
Composition.Slices for extension.extension:version.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Composition.Slices for extension.extension:version.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
Composition.Slices for extension.extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
Composition.Slices for extension.extension:informationRecipient.extension		0..0		Extension Slice: Unordered, Open by value:url
Composition.Slices for extension.extension:informationRecipient.url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
Composition.Slices for extension.extension:diagnosticReport		0..1	Reference(DiagnosticReport)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
Composition.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Composition.identifier	This element must be supported. This element is included in summaries.	1..1	CorrelationIdentifier	Report identifier
Composition.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Composition.type	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Type of (Laboratory) Report Binding: Laboratory Report Types (preferred)
Composition.Slices for category	This element is included in summaries.	0..*	CodeableConcept	Report Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Composition.Slices for category.category:studyType	This element is included in summaries.	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
Composition.Slices for category.category:specialty	This element is included in summaries.	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
Composition.subject	This element must be supported. This element is included in summaries.	1..1	Reference(Patient)	Who and/or what the composition is about
Composition.subject.identifier	This element must be supported. This element is included in summaries.	1..1	NHSIdentifier	NHS Number - required by the NHS England Pathology Laboratory Reporting API
Composition.date	This element must be supported. This element is included in summaries.	1..1	dateTime	Composition editing time
Composition.author	This element must be supported. This element is included in summaries.	1..*	Reference(Organization \| PractitionerRole \| Practitioner)	Who and/or what authored the composition
Composition.title	This element must be supported. This element is included in summaries.	1..1	string	Laboratory Report
Composition.Slices for attester		0..*	BackboneElement	Attests the report accuracy Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.Slices for attester.attester:All Slices				Content/Rules for all slices
Composition.Slices for attester.attester:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for attester.attester:All Slices.mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Composition.Slices for attester.attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
Composition.Slices for attester.attester:legalAuthenticator.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for attester.attester:legalAuthenticator.mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed)
Composition.Slices for attester.attester:legalAuthenticator.time		1..1	dateTime	When the composition was attested
Composition.Slices for attester.attester:legalAuthenticator.party		1..1	Reference(PractitionerRole (EU core) \| Practitioner (EU core))	Who attested the composition
Composition.Slices for attester.attester:validator		0..*	BackboneElement	Attests to accuracy of composition
Composition.Slices for attester.attester:validator.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for attester.attester:validator.mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed)
Composition.Slices for attester.attester:validator.time		1..1	dateTime	When the composition was attested
Composition.Slices for attester.attester:validator.party		1..1	Reference(PractitionerRole (EU core) \| Practitioner (EU core))	Who attested the composition
Composition.custodian	This element must be supported. This element is included in summaries.	0..1	Reference(Organization)	Organization which maintains the composition
Composition.Slices for section	This element must be supported. C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:$this.code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.Slices for section.section:All Slices				Content/Rules for all slices
Composition.Slices for section.section:All Slices.Slices for extension				Content/Rules for all slices
Composition.Slices for section.section:All Slices.Slices for extension.extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
Composition.Slices for section.section:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for section.section:All Slices.title		1..1	string	Label for section (e.g. for ToC)
Composition.Slices for section.section:All Slices.code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Composition.Slices for section.section:All Slices.text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Composition.Slices for section.section:All Slices.entry	C	0..*	Reference(Laboratory Report \| Laboratory Result)	A reference to data that supports this section
Composition.Slices for section.section:annotations	C	0..*	BackboneElement	Annotation comment Constraints: cmp-1, cmp-2
Composition.Slices for section.section:annotations.Slices for extension				Content/Rules for all slices
Composition.Slices for section.section:annotations.Slices for extension.extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
Composition.Slices for section.section:annotations.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.Slices for section.section:annotations.title		1..1	string	Label for section (e.g. for ToC)
Composition.Slices for section.section:annotations.code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "48767-8" } ] }`
Composition.Slices for section.section:annotations.text	C	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	Laboratory Report Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:studyType	Base	required	Laboratory Study Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.category:specialty	Base	required	Laboratory Specialty	📦2.1.0	HL7 Europe Laboratory Report v2.1
Composition.attester.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotations.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:annotations	A section must contain at least one of text, entries, or sub-sections	`text.exists() or entry.exists() or section.exists()`
cmp-2	error	Composition.section, Composition.section:annotations	A section can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:annotations.extension:section-note, Composition.section:annotations.modifierExtension	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Differential View

This structure is derived from CompositionLabReportEu

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition			CompositionLabReportEu
Composition.identifier	This element must be supported.	1..1	CorrelationIdentifier	Report identifier
Composition.status	This element must be supported.	1..1	code	preliminary \| final \| amended \| entered-in-error
Composition.type	This element must be supported.	1..1	CodeableConcept	Type of (Laboratory) Report
Composition.subject	This element must be supported.	1..1	Reference(Patient)	Who and/or what the composition is about
Composition.subject.identifier	This element must be supported.	1..1	NHSIdentifier	NHS Number - required by the NHS England Pathology Laboratory Reporting API
Composition.date	This element must be supported.	1..1	dateTime	Composition editing time
Composition.author	This element must be supported.	1..*	Reference(Organization \| PractitionerRole \| Practitioner)	Who and/or what authored the composition
Composition.title	This element must be supported.	1..1	string	Laboratory Report
Composition.custodian	This element must be supported.	0..1	Reference(Organization)	Organization which maintains the composition
Composition.section	This element must be supported.	1..*	BackboneElement	Composition is broken into sections
Composition.section.entry		0..*	Reference(Laboratory Report \| Laboratory Result)	A reference to data that supports this section
Composition.Slices for section				Content/Rules for all slices
Composition.Slices for section.section:annotations		0..*	BackboneElement	Annotation comment
Composition.Slices for section.section:annotations.entry		0..0	Reference(Laboratory Report \| Laboratory Result)	A reference to data that supports this section
Documentation for this format

Snapshot ViewView