HL7中国FHIR Connectathon测试实施指南
V20230304 - release

本指南适用于HL7中国的FHIR Connectathon测试。

Resource Profile: 新型冠状病毒核酸检测报告共享文档本地化定义

Defining URL:http://hl7.org.cn/fhir/StructureDefinition/profile-sars-cov-2-nucleic-acid-test
Version:V20230304
Name:DocumentSarsCov2NucleicAcidTest
Title:新型冠状病毒核酸检测报告共享文档本地化定义
Status:Active as of 2023-03-04T16:13:14+08:00
Definition:

新型冠状病毒核酸检测报告共享文档本地化定义。

Publisher:HL7中国
Source Resource:XML / JSON / Turtle

本定义的正式URL为: 

http://hl7.org.cn/fhir/StructureDefinition/profile-sars-cov-2-nucleic-acid-test

简介

核酸检测项目编码有两种形式：

  • Cycle Threshold： 循环数阈值
  • Presence： 存在

形式的不同，决定了核酸检测结果Observation的value取值类型，在本次测评中使用Presence形式，value取值类型为CodeableConcept。

核酸样本类型有很多种，包括：鼻咽拭子、咽拭子、痰标本、唾液标本、血清标本、血浆标本、全血样本、静脉血标本等。

国内一般采用实时荧光RT-PCR方法检测新冠病毒核酸。

国内检测机构所选用的新冠病毒核酸检测试剂主要针对新冠病毒基因组中开放读码框1ab（open reading frame 1ab，ORF1ab）和核衣壳蛋白（nucleocapsid protein，N）基因。

实验室确认阳性病例需满足以下两个条件中的一个：

  • 条件一：同一份标本中新冠病毒2个靶标（ORF1ab、N）实时荧光RT-PCR检测结果均为阳性。如果出现单个靶标阳性的检测结果，则需要重新检测或重新采样复核。
  • 条件二：两种标本实时荧光RT-PCR同时出现单靶标阳性，或同种类型标本两次采样检测中均出现单个靶标阳性的检测结果，可判定为阳性。

定义内容的视图

关于定义、差异、快照以及如何解读这些表示法。

这种结构源自 Composition

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of profile:resource

这种结构源自 Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... identifier 1..1Identifier文档的业务标识符
... status 1..1code文档的状态
... type 1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Binding: 个人健康档案共享文档类型代码表 (required)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/phr-document-type
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: P001
..... display1..1stringRepresentation defined by the system
Fixed Value: 新型冠状病毒核酸检测报告
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/document-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: PHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人健康档案共享文档
... subject 1..1Reference(Patient)指向核酸检测的居民
... encounter 1..1Reference(核酸检测诊疗活动结构定义)记录一次核酸检测诊疗活动
... date 1..1dateTime文档的生成时间
... author 1..1Reference(Practitioner)文档的作者，指向核酸检测医师
... title 1..1string文档的标题
Required Pattern: 新型冠状病毒核酸检测报告
... confidentiality 0..1code文档的密级。
... custodian 1..1Reference(Organization)文档的责任机构，指向核酸监测机构。
... section 2..*(Slice Definition)文档的具体章节
Slice: Unordered, Open by profile:resource
.... section:All Slices Content/Rules for all slices
..... title 1..1string章节标题
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
..... entry 0..*Reference(Resource)章节所包含的条目，指向一个资源
.... section:LabResult 1..1BackboneElement核酸检测样本章节
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 检验结果
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: 检验结果
..... entry 1..*Reference(核酸检测结果结构定义)指向核酸监测结果资源
.... section:Speciman 1..1BackboneElementComposition is broken into sections
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 标本信息
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68992-7
....... display1..1stringRepresentation defined by the system
Fixed Value: 标本信息
..... entry 1..1Reference(核酸检测样本结构定义)指向核酸样本资源

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1Identifier文档的业务标识符
... status ?!Σ1..1code文档的状态
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Binding: 个人健康档案共享文档类型代码表 (required)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/phr-document-type
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: P001
..... display1..1stringRepresentation defined by the system
Fixed Value: 新型冠状病毒核酸检测报告
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ1..1CodeableConcept文档的分类：EMR|EHR|PHR
Binding: 共享文档类别代码表 (required)

Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/document-category
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: PHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人健康档案共享文档
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Patient)指向核酸检测的居民
... encounter Σ1..1Reference(核酸检测诊疗活动结构定义)记录一次核酸检测诊疗活动
... date Σ1..1dateTime文档的生成时间
... author Σ1..1Reference(Practitioner)文档的作者，指向核酸检测医师
... title Σ1..1string文档的标题
Required Pattern: 新型冠状病毒核酸检测报告
... confidentiality Σ0..1code文档的密级。
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ1..1Reference(Organization)文档的责任机构，指向核酸监测机构。
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I2..*(Slice Definition)文档的具体章节
Slice: Unordered, Open by profile:resource
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)章节所包含的条目，指向一个资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:LabResult I1..1BackboneElement核酸检测样本章节
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 检验结果
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: 检验结果
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..*Reference(核酸检测结果结构定义)指向核酸监测结果资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:Speciman I1..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 标本信息
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68992-7
....... display1..1stringRepresentation defined by the system
Fixed Value: 标本信息
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..1Reference(核酸检测样本结构定义)指向核酸样本资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation

doco Documentation for this format

这种结构源自 Composition

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of profile:resource

差异视图

这种结构源自 Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... identifier 1..1Identifier文档的业务标识符
... status 1..1code文档的状态
... type 1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Binding: 个人健康档案共享文档类型代码表 (required)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/phr-document-type
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: P001
..... display1..1stringRepresentation defined by the system
Fixed Value: 新型冠状病毒核酸检测报告
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/document-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: PHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人健康档案共享文档
... subject 1..1Reference(Patient)指向核酸检测的居民
... encounter 1..1Reference(核酸检测诊疗活动结构定义)记录一次核酸检测诊疗活动
... date 1..1dateTime文档的生成时间
... author 1..1Reference(Practitioner)文档的作者，指向核酸检测医师
... title 1..1string文档的标题
Required Pattern: 新型冠状病毒核酸检测报告
... confidentiality 0..1code文档的密级。
... custodian 1..1Reference(Organization)文档的责任机构，指向核酸监测机构。
... section 2..*(Slice Definition)文档的具体章节
Slice: Unordered, Open by profile:resource
.... section:All Slices Content/Rules for all slices
..... title 1..1string章节标题
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
..... entry 0..*Reference(Resource)章节所包含的条目，指向一个资源
.... section:LabResult 1..1BackboneElement核酸检测样本章节
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 检验结果
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: 检验结果
..... entry 1..*Reference(核酸检测结果结构定义)指向核酸监测结果资源
.... section:Speciman 1..1BackboneElementComposition is broken into sections
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 标本信息
..... code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68992-7
....... display1..1stringRepresentation defined by the system
Fixed Value: 标本信息
..... entry 1..1Reference(核酸检测样本结构定义)指向核酸样本资源

doco Documentation for this format

快照视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1Identifier文档的业务标识符
... status ?!Σ1..1code文档的状态
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Binding: 个人健康档案共享文档类型代码表 (required)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/phr-document-type
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: P001
..... display1..1stringRepresentation defined by the system
Fixed Value: 新型冠状病毒核酸检测报告
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ1..1CodeableConcept文档的分类：EMR|EHR|PHR
Binding: 共享文档类别代码表 (required)

Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/CodeSystem/document-category
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: PHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人健康档案共享文档
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Patient)指向核酸检测的居民
... encounter Σ1..1Reference(核酸检测诊疗活动结构定义)记录一次核酸检测诊疗活动
... date Σ1..1dateTime文档的生成时间
... author Σ1..1Reference(Practitioner)文档的作者，指向核酸检测医师
... title Σ1..1string文档的标题
Required Pattern: 新型冠状病毒核酸检测报告
... confidentiality Σ0..1code文档的密级。
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ1..1Reference(Organization)文档的责任机构，指向核酸监测机构。
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I2..*(Slice Definition)文档的具体章节
Slice: Unordered, Open by profile:resource
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)章节所包含的条目，指向一个资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:LabResult I1..1BackboneElement核酸检测样本章节
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 检验结果
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: 检验结果
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..*Reference(核酸检测结果结构定义)指向核酸监测结果资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:Speciman I1..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
Required Pattern: 标本信息
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 68992-7
....... display1..1stringRepresentation defined by the system
Fixed Value: 标本信息
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..1Reference(核酸检测样本结构定义)指向核酸样本资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format

 

本定义的其它表示法: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typerequiredPattern: P001("新型冠状病毒核酸检测报告")
Composition.categoryrequiredPattern: PHR("个人健康档案共享文档")
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexampleActCode
Composition.section.coderequiredDocSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:LabResult.codeexamplePattern: LOINC code 30954-2("检验结果")
Composition.section:LabResult.moderequiredListMode
Composition.section:LabResult.orderedBypreferredListOrderCodes
Composition.section:LabResult.emptyReasonpreferredListEmptyReasons
Composition.section:Speciman.codeexamplePattern: LOINC code 68992-7("标本信息")
Composition.section:Speciman.moderequiredListMode
Composition.section:Speciman.orderedBypreferredListOrderCodes
Composition.section:Speciman.emptyReasonpreferredListEmptyReasons

Constraints

IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3CompositionIf 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-4CompositionIf 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-5CompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6CompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1Composition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.confidentialityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.target[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:LabResultA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:LabResultA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:LabResultAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:LabResult.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:LabResult.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:LabResult.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:LabResult.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:LabResult.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:SpecimanA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:SpecimanA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:SpecimanAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:Speciman.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:Speciman.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:Speciman.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:Speciman.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:Speciman.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())