Canadian Baseline
1.2.0 - CI Build Canada flag

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions

Resource Profile: DiagnosticReport Profile for Laboratory Results Reporting

Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreport Version: 1.2.0
Draft as of 2024-12-27 Computable Name: DiagnosticReportProfile

Proposed constraints on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory and other results

CA Core DiagnosticReport (Laboratory Results) Profile

This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It identifies which core elements, constraints and value sets SHALL be present in the resource instance when using this profile.

This profile defines core localisation concepts for use in an Canadian context.

Mandatory Data Elements

All elements or attributes defined in FHIR have cardinality as part of their definition - a minimum number of required appearances and a maximum number.

Most elements in FHIR specification have a minimum cardinality of 0, which means that they may be missing from a resource when it is exchanged between systems.

Required elements:

  • status of the diagnostic report
  • code that describes the diagnostic report

Must Support Data Elements

Some elements are labeled as MustSupport meaning that implementations that produce or consume resources SHALL provide "support" for the element in some meaningful way (see Must Support definition).

Following elements are marked as Must Support in the Canadian DiagnosticReport profile to aid record matching in databases.

Must Support elements:

  • code that describes the diagnostic report
  • subject of the report
  • healthcare event this report is about
  • Observations that are part of this report

Usage Note

The following are example usage scenarios for the DiagnosticReport profile.

  • Query for lab reports belonging to a Patient
  • Record or update a lab report for a specific Patient

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport DiagnosticReport Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:note 0..* Annotation Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category SΣ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:LabResult Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:LabResult Σ 0..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... coding:@default Σ 0..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 0..1 Reference(Patient Profile | Device Profile (Implantable) | Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter Profile) Health care event when test ordered
... effective[x] Σ 0..1 Time of the report or note
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Primary result interpreter
... Slices for specimen 0..* Reference(Specimen) Specimens this report is based on
Slice: Unordered, Open by pattern:$this
.... specimen:LabResult 0..* Reference(Specimen) Specimens this report is based on
.... specimen:@default 0..* Reference(Specimen) Specimens this report is based on
... Slices for result S 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this
.... result:LabResult 0..* Reference(Observation Profile (Laboratory Results)) Observations
.... result:@default S 0..* Reference(Observation Profile (General Use)) Observations
... conclusionCode 0..* CodeableConcept CHI identification of the condition, problem or diagnosis
Binding: HealthConcernCode . (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:LabResult Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example HealthConcernCode . ⏿1.0.0 terminologystandardsservice.ca

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport DiagnosticReport Profile
... Slices for extension Content/Rules for all slices
.... extension:note 0..* Annotation Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
... Slices for category S 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
.... category:LabResult 0..* CodeableConcept Service category
..... coding
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:LabResult 0..* Coding Code defined by a terminology system
...... 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: 11502-2
..... coding:@default 0..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... encounter 0..1 Reference(Encounter Profile) Health care event when test ordered
... effective[x] 0..1 Time of the report or note
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Responsible Diagnostic Service
... resultsInterpreter 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Primary result interpreter
... Slices for specimen 0..* Reference(Specimen) Specimens this report is based on
Slice: Unordered, Open by pattern:$this
.... specimen:LabResult 0..* Reference(Specimen) Specimens this report is based on
.... specimen:@default 0..* Reference(Specimen) Specimens this report is based on
... Slices for result S 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this
.... result:LabResult 0..* Reference(Observation Profile (Laboratory Results)) Observations
.... result:@default S 0..* Reference(Observation Profile (General Use)) Observations
... conclusionCode 0..* CodeableConcept CHI identification of the condition, problem or diagnosis
Binding: HealthConcernCode . (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.conclusionCode Base example HealthConcernCode . ⏿1.0.0 terminologystandardsservice.ca
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport DiagnosticReport Profile
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:note 0..* Annotation Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category SΣ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:LabResult Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:LabResult Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:@default Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient Profile | Device Profile (Implantable) | Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter Profile) Health care event when test ordered
... effective[x] Σ 0..1 Time of the report or note
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Primary result interpreter
... Slices for specimen 0..* Reference(Specimen) Specimens this report is based on
Slice: Unordered, Open by pattern:$this
.... specimen:LabResult 0..* Reference(Specimen) Specimens this report is based on
.... specimen:@default 0..* Reference(Specimen) Specimens this report is based on
... Slices for result S 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this
.... result:LabResult 0..* Reference(Observation Profile (Laboratory Results)) Observations
.... result:@default S 0..* Reference(Observation Profile (General Use)) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept CHI identification of the condition, problem or diagnosis
Binding: HealthConcernCode . (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:LabResult Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example HealthConcernCode . ⏿1.0.0 terminologystandardsservice.ca

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 5 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.category
  • The element 1 is sliced based on the value of DiagnosticReport.code.coding
  • The element 1 is sliced based on the value of DiagnosticReport.specimen
  • The element 1 is sliced based on the value of DiagnosticReport.result

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport DiagnosticReport Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:note 0..* Annotation Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category SΣ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:LabResult Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:LabResult Σ 0..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... coding:@default Σ 0..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 0..1 Reference(Patient Profile | Device Profile (Implantable) | Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter Profile) Health care event when test ordered
... effective[x] Σ 0..1 Time of the report or note
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Primary result interpreter
... Slices for specimen 0..* Reference(Specimen) Specimens this report is based on
Slice: Unordered, Open by pattern:$this
.... specimen:LabResult 0..* Reference(Specimen) Specimens this report is based on
.... specimen:@default 0..* Reference(Specimen) Specimens this report is based on
... Slices for result S 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this
.... result:LabResult 0..* Reference(Observation Profile (Laboratory Results)) Observations
.... result:@default S 0..* Reference(Observation Profile (General Use)) Observations
... conclusionCode 0..* CodeableConcept CHI identification of the condition, problem or diagnosis
Binding: HealthConcernCode . (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:LabResult Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example HealthConcernCode . ⏿1.0.0 terminologystandardsservice.ca

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport 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()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport DiagnosticReport Profile
... Slices for extension Content/Rules for all slices
.... extension:note 0..* Annotation Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
... Slices for category S 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
.... category:LabResult 0..* CodeableConcept Service category
..... coding
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:LabResult 0..* Coding Code defined by a terminology system
...... 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: 11502-2
..... coding:@default 0..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... encounter 0..1 Reference(Encounter Profile) Health care event when test ordered
... effective[x] 0..1 Time of the report or note
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Responsible Diagnostic Service
... resultsInterpreter 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Primary result interpreter
... Slices for specimen 0..* Reference(Specimen) Specimens this report is based on
Slice: Unordered, Open by pattern:$this
.... specimen:LabResult 0..* Reference(Specimen) Specimens this report is based on
.... specimen:@default 0..* Reference(Specimen) Specimens this report is based on
... Slices for result S 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this
.... result:LabResult 0..* Reference(Observation Profile (Laboratory Results)) Observations
.... result:@default S 0..* Reference(Observation Profile (General Use)) Observations
... conclusionCode 0..* CodeableConcept CHI identification of the condition, problem or diagnosis
Binding: HealthConcernCode . (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.conclusionCode Base example HealthConcernCode . ⏿1.0.0 terminologystandardsservice.ca

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport DiagnosticReport Profile
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:note 0..* Annotation Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category SΣ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:LabResult Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:LabResult Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:@default Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient Profile | Device Profile (Implantable) | Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter Profile) Health care event when test ordered
... effective[x] Σ 0..1 Time of the report or note
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile) Primary result interpreter
... Slices for specimen 0..* Reference(Specimen) Specimens this report is based on
Slice: Unordered, Open by pattern:$this
.... specimen:LabResult 0..* Reference(Specimen) Specimens this report is based on
.... specimen:@default 0..* Reference(Specimen) Specimens this report is based on
... Slices for result S 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this
.... result:LabResult 0..* Reference(Observation Profile (Laboratory Results)) Observations
.... result:@default S 0..* Reference(Observation Profile (General Use)) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept CHI identification of the condition, problem or diagnosis
Binding: HealthConcernCode . (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:LabResult Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example HealthConcernCode . ⏿1.0.0 terminologystandardsservice.ca

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 5 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.category
  • The element 1 is sliced based on the value of DiagnosticReport.code.coding
  • The element 1 is sliced based on the value of DiagnosticReport.specimen
  • The element 1 is sliced based on the value of DiagnosticReport.result

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Category

The DiagnosticReport.category element is required in this profile since a typical use would involve searching, sorting for Laboratory test(s) and Laboratory result(s).

Multiple categories are allowed using various categorization schemes but at least one SHALL come from the FHIR defined value set that includes codes from HL7v2 Table 0074.

ConclusionCode

The DiagnosticReport.conclusionCode element represents codes with the summary conclusion (interpretation/impression) of the diagnostic report.

The Canada Health Infoway Health Concern Code identification of the clinical problems, conditions, diagnoses, symptoms, findings and complaints is provided as a sample only.