HL7 CZ Laboratory IG
0.5.0 - ci-build Czechia flag

HL7 CZ Laboratory IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-lab/ and changes regularly. See the Directory of published versions

Resource Profile: DiagnosticReport: Laboratory Report

Official URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab Version: 0.5.0
Standards status: Draft Maturity Level: 0 Computable Name: CZ_DiagnosticReportLab

Copyright/Legal: HL7 Czech Republic

Diagnostic Report used to represent an entry of a Laboratory Report, including its context, for the scope of the Czech national interoperability project.

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 C 0..* DiagnosticReport Laboratory Report DiagnosticReport
This profile also imposes the profile DiagnosticReport: Laboratory Report
Constraints: presentedform-01
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (CZ) (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Speciality Types (CZ) (required)
... code Σ 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (CZ) (preferred)
... subject Σ 1..1 Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen Laboratory (CZ)) Specimens this report is based on.
... result 0..* Reference(Observation Laboratory (CZ)) results
... presentedForm 1..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:studyTyperequiredCZ_LabStudyTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
From this IG
DiagnosticReport.category:specialtyrequiredCZ_LabSpecialityTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
From this IG
DiagnosticReport.codepreferredCZ_LabReportTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
presentedform-01warningDiagnosticReportAt least one of presented form has PDF format
: presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Laboratory Report DiagnosticReport
This profile also imposes the profile DiagnosticReport: Laboratory Report
Constraints: presentedform-01
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... identifier 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... Slices for category 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (CZ) (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Speciality Types (CZ) (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (CZ) (preferred)
... subject 1..1 Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report.
... performer 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen Laboratory (CZ)) Specimens this report is based on.
... result 0..* Reference(Observation Laboratory (CZ)) results
... presentedForm 1..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.category:studyTyperequiredCZ_LabStudyTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
From this IG
DiagnosticReport.category:specialtyrequiredCZ_LabSpecialityTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
From this IG
DiagnosticReport.codepreferredCZ_LabReportTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
From this IG

Constraints

IdGradePath(s)DetailsRequirements
presentedform-01warningDiagnosticReportAt least one of presented form has PDF format
: presentedForm.where(contentType = 'application/pdf').count() > 0
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Laboratory Report DiagnosticReport
This profile also imposes the profile DiagnosticReport: Laboratory Report
Constraints: presentedform-01
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (CZ) (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Speciality Types (CZ) (required)
... code Σ 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (CZ) (preferred)
... subject Σ 1..1 Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen Laboratory (CZ)) Specimens this report is based on.
... result 0..* Reference(Observation Laboratory (CZ)) results
... 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 Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 1..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:studyTyperequiredCZ_LabStudyTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
From this IG
DiagnosticReport.category:specialtyrequiredCZ_LabSpecialityTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
From this IG
DiagnosticReport.codepreferredCZ_LabReportTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
From this IG
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
presentedform-01warningDiagnosticReportAt least one of presented form has PDF format
: presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from DiagnosticReport

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Laboratory Report DiagnosticReport
This profile also imposes the profile DiagnosticReport: Laboratory Report
Constraints: presentedform-01
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (CZ) (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Speciality Types (CZ) (required)
... code Σ 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (CZ) (preferred)
... subject Σ 1..1 Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen Laboratory (CZ)) Specimens this report is based on.
... result 0..* Reference(Observation Laboratory (CZ)) results
... presentedForm 1..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:studyTyperequiredCZ_LabStudyTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
From this IG
DiagnosticReport.category:specialtyrequiredCZ_LabSpecialityTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
From this IG
DiagnosticReport.codepreferredCZ_LabReportTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
presentedform-01warningDiagnosticReportAt least one of presented form has PDF format
: presentedForm.where(contentType = 'application/pdf').count() > 0

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Laboratory Report DiagnosticReport
This profile also imposes the profile DiagnosticReport: Laboratory Report
Constraints: presentedform-01
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... identifier 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... Slices for category 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (CZ) (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Speciality Types (CZ) (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (CZ) (preferred)
... subject 1..1 Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report.
... performer 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen Laboratory (CZ)) Specimens this report is based on.
... result 0..* Reference(Observation Laboratory (CZ)) results
... presentedForm 1..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.category:studyTyperequiredCZ_LabStudyTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
From this IG
DiagnosticReport.category:specialtyrequiredCZ_LabSpecialityTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
From this IG
DiagnosticReport.codepreferredCZ_LabReportTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
From this IG

Constraints

IdGradePath(s)DetailsRequirements
presentedform-01warningDiagnosticReportAt least one of presented form has PDF format
: presentedForm.where(contentType = 'application/pdf').count() > 0

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Laboratory Report DiagnosticReport
This profile also imposes the profile DiagnosticReport: Laboratory Report
Constraints: presentedform-01
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (CZ) (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Speciality Types (CZ) (required)
... code Σ 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (CZ) (preferred)
... subject Σ 1..1 Reference(Patient (CZ core) | Patient: Animal (CZ) | Group | Location (CZ core) | Device | Medical Device (CZ)) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen Laboratory (CZ)) Specimens this report is based on.
... result 0..* Reference(Observation Laboratory (CZ)) results
... 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 Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 1..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:studyTyperequiredCZ_LabStudyTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
From this IG
DiagnosticReport.category:specialtyrequiredCZ_LabSpecialityTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
From this IG
DiagnosticReport.codepreferredCZ_LabReportTypesVS
https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
From this IG
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
presentedform-01warningDiagnosticReportAt least one of presented form has PDF format
: presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from DiagnosticReport

 

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