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。

• 关键元素表
• 差异表
• 快照表
• 统计/引用
• 所有

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	文档的业务标识符 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	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) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/phr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: P001
display		1..1	string	Representation defined by the system Fixed Value: 新型冠状病毒核酸检测报告
category	Σ	1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PHR
display		1..1	string	Representation defined by the system Fixed Value: 个人健康档案共享文档
subject	Σ	1..1	Reference(Patient)	指向核酸检测的居民 ele-1: All FHIR elements must have a @value or children
encounter	Σ	1..1	Reference(核酸检测诊疗活动结构定义)	记录一次核酸检测诊疗活动 ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	文档的生成时间 ele-1: All FHIR elements must have a @value or children
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向核酸检测医师 ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	文档的标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 新型冠状病毒核酸检测报告
custodian	Σ	1..1	Reference(Organization)	文档的责任机构，指向核酸监测机构。 ele-1: All FHIR elements must have a @value or children
Slices for section	C	2..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children
entry	C	0..*	Reference(Resource)	章节所包含的条目，指向一个资源 ele-1: All FHIR elements must have a @value or children
section:LabResult	C	1..1	BackboneElement	核酸检测结果章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 检验结果
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: 检验结果
entry	C	1..*	Reference(核酸检测结果结构定义)	指向核酸监测结果资源 ele-1: All FHIR elements must have a @value or children
section:Speciman	C	1..1	BackboneElement	核酸检测样本章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 标本信息
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68992-7
display		1..1	string	Representation defined by the system Fixed Value: 标本信息
entry	C	1..1	Reference(核酸检测样本结构定义)	指向核酸样本资源 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: P001("新型冠状病毒核酸检测报告") http://hl7.org.cn/fhir/connectathon/ValueSet/phr-document-type from this IG
Composition.category	required	Pattern: PHR("个人健康档案共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:LabResult.code	required	Pattern: LOINC Code 30954-2("检验结果") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Speciman.code	required	Pattern: LOINC Code 68992-7("标本信息") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:LabResult, Composition.section:Speciman	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:LabResult, Composition.section:Speciman	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	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()

该结构继承自 Composition 。

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
identifier		1..1	Identifier	文档的业务标识符
status		1..1	code	文档的状态
type		1..1	CodeableConcept	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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/phr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: P001
display		1..1	string	Representation defined by the system Fixed Value: 新型冠状病毒核酸检测报告
category		1..1	CodeableConcept	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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PHR
display		1..1	string	Representation defined by the system Fixed Value: 个人健康档案共享文档
subject		1..1	Reference(Patient)	指向核酸检测的居民
encounter		1..1	Reference(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..1	dateTime	文档的生成时间
author		1..1	Reference(Practitioner)	文档的作者，指向核酸检测医师
title		1..1	string	文档的标题 Required Pattern: 新型冠状病毒核酸检测报告
custodian		1..1	Reference(Organization)	文档的责任机构，指向核酸监测机构。
Slices for section		2..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource
section:All Slices				Content/Rules for all slices
title		1..1	string	章节标题
code		1..1	CodeableConcept	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..1	BackboneElement	核酸检测结果章节
title		1..1	string	章节标题 Required Pattern: 检验结果
code		1..1	CodeableConcept	章节的编码表示 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation 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..1	BackboneElement	核酸检测样本章节
title		1..1	string	章节标题 Required Pattern: 标本信息
code		1..1	CodeableConcept	章节的编码表示 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68992-7
display		1..1	string	Representation defined by the system Fixed Value: 标本信息
entry		1..1	Reference(核酸检测样本结构定义)	指向核酸样本资源
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	required	Pattern: P001("新型冠状病毒核酸检测报告") http://hl7.org.cn/fhir/connectathon/ValueSet/phr-document-type from this IG
Composition.category	required	Pattern: PHR("个人健康档案共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	1..1	Identifier	文档的业务标识符
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/phr-document-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: P001
display		1..1	string	Representation defined by the system Fixed Value: 新型冠状病毒核酸检测报告
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/document-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PHR
display		1..1	string	Representation defined by the system Fixed Value: 个人健康档案共享文档
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	指向核酸检测的居民
encounter	Σ	1..1	Reference(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	Σ	1..1	dateTime	文档的生成时间
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向核酸检测医师
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	文档的标题 Required Pattern: 新型冠状病毒核酸检测报告
note		0..*	Annotation	For any additional notes
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	1..1	Reference(Organization)	文档的责任机构，指向核酸监测机构。
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	C	2..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	章节标题
code		1..1	CodeableConcept	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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	章节所包含的条目，指向一个资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:LabResult	C	1..1	BackboneElement	核酸检测结果章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	章节标题 Required Pattern: 检验结果
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: 检验结果
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(核酸检测结果结构定义)	指向核酸监测结果资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Speciman	C	1..1	BackboneElement	核酸检测样本章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	章节标题 Required Pattern: 标本信息
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68992-7
display		1..1	string	Representation defined by the system Fixed Value: 标本信息
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(核酸检测样本结构定义)	指向核酸样本资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: P001("新型冠状病毒核酸检测报告") http://hl7.org.cn/fhir/connectathon/ValueSet/phr-document-type from this IG
Composition.category	required	Pattern: PHR("个人健康档案共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:LabResult.code	required	Pattern: LOINC Code 30954-2("检验结果") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:LabResult.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:LabResult.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Speciman.code	required	Pattern: LOINC Code 68992-7("标本信息") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Speciman.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Speciman.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:LabResult, Composition.section:Speciman	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:LabResult, Composition.section:Speciman	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	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()

关键元素视图

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	文档的业务标识符 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	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) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/phr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: P001
display		1..1	string	Representation defined by the system Fixed Value: 新型冠状病毒核酸检测报告
category	Σ	1..1	CodeableConcept	文档的分类：EMR|EHR|PHR Binding: 共享文档类别代码表 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PHR
display		1..1	string	Representation defined by the system Fixed Value: 个人健康档案共享文档
subject	Σ	1..1	Reference(Patient)	指向核酸检测的居民 ele-1: All FHIR elements must have a @value or children
encounter	Σ	1..1	Reference(核酸检测诊疗活动结构定义)	记录一次核酸检测诊疗活动 ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	文档的生成时间 ele-1: All FHIR elements must have a @value or children
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向核酸检测医师 ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	文档的标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 新型冠状病毒核酸检测报告
custodian	Σ	1..1	Reference(Organization)	文档的责任机构，指向核酸监测机构。 ele-1: All FHIR elements must have a @value or children
Slices for section	C	2..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children
entry	C	0..*	Reference(Resource)	章节所包含的条目，指向一个资源 ele-1: All FHIR elements must have a @value or children
section:LabResult	C	1..1	BackboneElement	核酸检测结果章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 检验结果
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: 检验结果
entry	C	1..*	Reference(核酸检测结果结构定义)	指向核酸监测结果资源 ele-1: All FHIR elements must have a @value or children
section:Speciman	C	1..1	BackboneElement	核酸检测样本章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	章节标题 ele-1: All FHIR elements must have a @value or children Required Pattern: 标本信息
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68992-7
display		1..1	string	Representation defined by the system Fixed Value: 标本信息
entry	C	1..1	Reference(核酸检测样本结构定义)	指向核酸样本资源 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: P001("新型冠状病毒核酸检测报告") http://hl7.org.cn/fhir/connectathon/ValueSet/phr-document-type from this IG
Composition.category	required	Pattern: PHR("个人健康档案共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:LabResult.code	required	Pattern: LOINC Code 30954-2("检验结果") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Speciman.code	required	Pattern: LOINC Code 68992-7("标本信息") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:LabResult, Composition.section:Speciman	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:LabResult, Composition.section:Speciman	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	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()

差异视图

该结构继承自 Composition 。

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
identifier		1..1	Identifier	文档的业务标识符
status		1..1	code	文档的状态
type		1..1	CodeableConcept	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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/phr-document-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: P001
display		1..1	string	Representation defined by the system Fixed Value: 新型冠状病毒核酸检测报告
category		1..1	CodeableConcept	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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/document-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PHR
display		1..1	string	Representation defined by the system Fixed Value: 个人健康档案共享文档
subject		1..1	Reference(Patient)	指向核酸检测的居民
encounter		1..1	Reference(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..1	dateTime	文档的生成时间
author		1..1	Reference(Practitioner)	文档的作者，指向核酸检测医师
title		1..1	string	文档的标题 Required Pattern: 新型冠状病毒核酸检测报告
custodian		1..1	Reference(Organization)	文档的责任机构，指向核酸监测机构。
Slices for section		2..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource
section:All Slices				Content/Rules for all slices
title		1..1	string	章节标题
code		1..1	CodeableConcept	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..1	BackboneElement	核酸检测结果章节
title		1..1	string	章节标题 Required Pattern: 检验结果
code		1..1	CodeableConcept	章节的编码表示 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation 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..1	BackboneElement	核酸检测样本章节
title		1..1	string	章节标题 Required Pattern: 标本信息
code		1..1	CodeableConcept	章节的编码表示 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68992-7
display		1..1	string	Representation defined by the system Fixed Value: 标本信息
entry		1..1	Reference(核酸检测样本结构定义)	指向核酸样本资源
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	required	Pattern: P001("新型冠状病毒核酸检测报告") http://hl7.org.cn/fhir/connectathon/ValueSet/phr-document-type from this IG
Composition.category	required	Pattern: PHR("个人健康档案共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG

快照视图

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	1..1	Identifier	文档的业务标识符
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	文档的状态 Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/phr-document-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: P001
display		1..1	string	Representation defined by the system Fixed Value: 新型冠状病毒核酸检测报告
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/connectathon/CodeSystem/document-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PHR
display		1..1	string	Representation defined by the system Fixed Value: 个人健康档案共享文档
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	指向核酸检测的居民
encounter	Σ	1..1	Reference(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	Σ	1..1	dateTime	文档的生成时间
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..1	Reference(Practitioner)	文档的作者，指向核酸检测医师
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	文档的标题 Required Pattern: 新型冠状病毒核酸检测报告
note		0..*	Annotation	For any additional notes
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	1..1	Reference(Organization)	文档的责任机构，指向核酸监测机构。
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	C	2..*	BackboneElement	文档的具体章节 Slice: Unordered, Open by type:resource cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	章节标题
code		1..1	CodeableConcept	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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	章节所包含的条目，指向一个资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:LabResult	C	1..1	BackboneElement	核酸检测结果章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	章节标题 Required Pattern: 检验结果
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: 检验结果
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(核酸检测结果结构定义)	指向核酸监测结果资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
section:Speciman	C	1..1	BackboneElement	核酸检测样本章节 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	章节标题 Required Pattern: 标本信息
code		1..1	CodeableConcept	章节的编码表示 Binding: 共享文档章节代码表 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 68992-7
display		1..1	string	Representation defined by the system Fixed Value: 标本信息
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(核酸检测样本结构定义)	指向核酸样本资源
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 from the FHIR Standard
Composition.type	required	Pattern: P001("新型冠状病毒核酸检测报告") http://hl7.org.cn/fhir/connectathon/ValueSet/phr-document-type from this IG
Composition.category	required	Pattern: PHR("个人健康档案共享文档") http://hl7.org.cn/fhir/connectathon/ValueSet/document-category from this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	required	DocSectionCodes http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:LabResult.code	required	Pattern: LOINC Code 30954-2("检验结果") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:LabResult.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:LabResult.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Speciman.code	required	Pattern: LOINC Code 68992-7("标本信息") http://hl7.org.cn/fhir/connectathon/ValueSet/doc-section-codes from this IG
Composition.section:Speciman.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Speciman.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:LabResult, Composition.section:Speciman	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:LabResult, Composition.section:Speciman	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	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()

该结构继承自 Composition 。

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

• 核酸检测诊疗活动结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/profile-covid19-encounter)
• 核酸检测结果结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/profile-covid19-result)
• 核酸检测样本结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/profile-covid19-specimen)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section