HL7中国FHIR Connectathon测试实施指南
2024.5.5 - 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:2024.5.5
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 2024-05-05 21:11:47+0800
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. 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 type: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
... custodian 1..1Reference(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..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核酸检测结果章节
..... 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..1BackboneElement核酸检测样本章节
..... 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..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... url Σ0..1uriCanonical identifier for this Composition, represented as a URI (globally unique)
... identifier Σ1..1Identifier文档的业务标识符
... version Σ0..1stringAn explicitly assigned identifer of a variation of the content in the Composition
... 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
... useContext Σ0..*UsageContextThe context that the content is intended to support
... author Σ1..1Reference(Practitioner)文档的作者，指向核酸检测医师
... name Σ0..1stringName for this Composition (computer friendly)
... title Σ1..1string文档的标题
Required Pattern: 新型冠状病毒核酸检测报告
... note 0..*AnnotationFor any additional notes
... 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..1CodeableConceptpersonal | professional | legal | official
Binding: CompositionAttestationMode (preferred): 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..*RelatedArtifactRelationships to other compositions/documents
... 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
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*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 C2..*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..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 C0..1NarrativeText summary of the section, for human interpretation
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C0..*Reference(Resource)章节所包含的条目，指向一个资源
..... emptyReason C0..1CodeableConceptWhy 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 C1..1BackboneElement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..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 C0..1NarrativeText summary of the section, for human interpretation
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C1..*Reference(核酸检测结果结构定义)指向核酸监测结果资源
..... emptyReason C0..1CodeableConceptWhy 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 C1..1BackboneElement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..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 C0..1NarrativeText summary of the section, for human interpretation
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C1..1Reference(核酸检测样本结构定义)指向核酸样本资源
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section 0..*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 type: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
... custodian 1..1Reference(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..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核酸检测结果章节
..... 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..1BackboneElement核酸检测样本章节
..... 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..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... url Σ0..1uriCanonical identifier for this Composition, represented as a URI (globally unique)
... identifier Σ1..1Identifier文档的业务标识符
... version Σ0..1stringAn explicitly assigned identifer of a variation of the content in the Composition
... 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
... useContext Σ0..*UsageContextThe context that the content is intended to support
... author Σ1..1Reference(Practitioner)文档的作者，指向核酸检测医师
... name Σ0..1stringName for this Composition (computer friendly)
... title Σ1..1string文档的标题
Required Pattern: 新型冠状病毒核酸检测报告
... note 0..*AnnotationFor any additional notes
... 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..1CodeableConceptpersonal | professional | legal | official
Binding: CompositionAttestationMode (preferred): 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..*RelatedArtifactRelationships to other compositions/documents
... 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
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*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 C2..*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..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 C0..1NarrativeText summary of the section, for human interpretation
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C0..*Reference(Resource)章节所包含的条目，指向一个资源
..... emptyReason C0..1CodeableConceptWhy 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 C1..1BackboneElement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..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 C0..1NarrativeText summary of the section, for human interpretation
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C1..*Reference(核酸检测结果结构定义)指向核酸监测结果资源
..... emptyReason C0..1CodeableConceptWhy 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 C1..1BackboneElement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..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 C0..1NarrativeText summary of the section, for human interpretation
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C1..1Reference(核酸检测样本结构定义)指向核酸样本资源
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section 0..*See section (Composition)Nested Section

doco Documentation for this format

 

本定义的其它表示法: Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|5.0.0
from the FHIR Standard
Composition.typerequiredPattern: P001("新型冠状病毒核酸检测报告")
http://hl7.org.cn/fhir/ValueSet/phr-document-type
from this IG
Composition.categoryrequiredPattern: PHR("个人健康档案共享文档")
http://hl7.org.cn/fhir/ValueSet/document-category
from this IG
Composition.attester.modepreferredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard
Composition.event.detailexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.coderequiredDocSectionCodes
http://hl7.org.cn/fhir/ValueSet/doc-section-codes
from this IG
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:LabResult.codeexamplePattern: LOINC code 30954-2("检验结果")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:LabResult.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:LabResult.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:Speciman.codeexamplePattern: LOINC code 68992-7("标本信息")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Speciman.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:Speciman.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:LabResult, Composition.section:SpecimanA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:LabResult, Composition.section:SpecimanA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()