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

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Resource Profile: Diagnostic Report: Obligations

This profile defines obligations for a diagnostic report in FHIR for the purpose of this guide.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReportLab	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
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
Slices for category	OΣ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
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	OΣ	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred) Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
subject	OΣ	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 Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	DateTime this version was made Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
specimen	O	0..*	Reference(Specimen Laboratory (CZ))	Specimens this report is based on. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 From the FHIR Standard
DiagnosticReport.category:studyType	required	CZ_LabStudyTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS From this IG
DiagnosticReport.category:specialty	required	CZ_LabSpecialityTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS From this IG
DiagnosticReport.code	preferred	CZ_LabReportTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format : presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from CZ_DiagnosticReportLab

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	CZ_DiagnosticReportLab	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
status	O	1..1	code	Status of the Report Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
category	O	0..*	CodeableConceptIPS	Report Category Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
subject	O	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 Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
issued	O	0..1	instant	DateTime this version was made Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
performer	O	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
specimen	O	0..*	Reference(Specimen Laboratory (CZ))	Specimens this report is based on. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReportLab	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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
Slices for category	OΣ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
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	OΣ	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred) Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
subject	OΣ	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 Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	DateTime this version was made Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen	O	0..*	Reference(Specimen Laboratory (CZ))	Specimens this report is based on. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 From the FHIR Standard
DiagnosticReport.category:studyType	required	CZ_LabStudyTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS From this IG
DiagnosticReport.category:specialty	required	CZ_LabSpecialityTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS From this IG
DiagnosticReport.code	preferred	CZ_LabReportTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS From this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format : presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from CZ_DiagnosticReportLab

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReportLab	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
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
Slices for category	OΣ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
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	OΣ	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred) Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
subject	OΣ	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 Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	DateTime this version was made Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
specimen	O	0..*	Reference(Specimen Laboratory (CZ))	Specimens this report is based on. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 From the FHIR Standard
DiagnosticReport.category:studyType	required	CZ_LabStudyTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS From this IG
DiagnosticReport.category:specialty	required	CZ_LabSpecialityTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS From this IG
DiagnosticReport.code	preferred	CZ_LabReportTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format : presentedForm.where(contentType = 'application/pdf').count() > 0

Differential View

This structure is derived from CZ_DiagnosticReportLab

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	CZ_DiagnosticReportLab	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
status	O	1..1	code	Status of the Report Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
category	O	0..*	CodeableConceptIPS	Report Category Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
subject	O	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 Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
issued	O	0..1	instant	DateTime this version was made Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
performer	O	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
specimen	O	0..*	Reference(Specimen Laboratory (CZ))	Specimens this report is based on. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReportLab	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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
Slices for category	OΣ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
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	OΣ	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: Laboratory Report Types (CZ) (preferred) Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
subject	OΣ	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 Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	DateTime this version was made Obligations Actor SHALL:able-to-populate LabCreator-L1 SHALL:display LabConsumer-L1
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen	O	0..*	Reference(Specimen Laboratory (CZ))	Specimens this report is based on. Obligations Actor SHOULD:able-to-populate LabCreator-L1 SHOULD:display LabConsumer-L1
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 From the FHIR Standard
DiagnosticReport.category:studyType	required	CZ_LabStudyTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS From this IG
DiagnosticReport.category:specialty	required	CZ_LabSpecialityTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS From this IG
DiagnosticReport.code	preferred	CZ_LabReportTypesVS https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS From this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format : presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from CZ_DiagnosticReportLab

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron