cz-diagnostic-report-lab
type: StructureDefinition
node role: treeRoot
id:
  v: cz-diagnostic-report-lab
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition cz-diagnostic-report-lab Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> DiagnosticReport <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( presentedform-01 )">C 0..* DiagnosticReport Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report Constraints: presentedform-01 #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition #xD; value[x] 1..1 Reference(Composition: Laboratory Report) Reference to a Composition resource for the DiagnosticReport structure #xD; identifier 0..* Identifier Report identifier #xD; basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested #xD; status 1..1 code Status of the Report #xD; <a style="font-style: italic; font-style: italic" href="StructureDefinition-cz-diagnostic-report-lab-definitions.html#DiagnosticReport.category" title="A code that classifies this laboratory report. Two basic categories has been selected in this guide: laboratory specialty and Study type. Laboratory specialty is characteristic of the laboratory that produced the test result while Study type is an arbitrary classificion of the test type.">Slices for category 0..* CodeableConceptIPS(2.0.0) Report Category Slice: Unordered, Open by pattern:$this #xD; <a href="StructureDefinition-cz-diagnostic-report-lab-definitions.html#DiagnosticReport.category:st…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile
    l: structuredefinition-imposeProfile
  value: Canonical
    v: http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab
    l: DiagnosticReport-eu-lab
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
url:
  v: https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab
  l: cz-diagnostic-report-lab
version:
  v: 0.5.0
name:
  v: CZ_DiagnosticReportLab
title:
  v: DiagnosticReport: Laboratory Report
status:
  v: draft
date:
  v: 2025-12-10T22:15:30+00:00
publisher:
  v: HL7 Czech Republic
contact:
  name:
    v: HL7 Czech Republic
  telecom:
    system:
      v: url
    value:
      v: https://hl7.cz
description:
  v: Diagnostic Report used to represent an entry of a Laboratory Report, including its context, for the scope of the Czech national interoperability project.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: CZ
    display:
      v: Czechia
copyright:
  v: HL7 Czech Republic
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: DiagnosticReport
  l: DiagnosticReport
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
  l: DiagnosticReport
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: DiagnosticReport
    path:
      v: DiagnosticReport
    short:
      v: Laboratory Report DiagnosticReport
    definition:
      v: Laboratory Report DiagnosticReport
    comment:
      v: This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
    alias:
      v: Report
    alias:
      v: Test
    alias:
      v: Result
    alias:
      v: Results
    alias:
      v: Labs
    alias:
      v: Laboratory
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DiagnosticReport
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
    l: elementdefinition-bestpractice
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
    l: elementdefinition-bestpractice-explanation
  value: Markdown
    v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
key:
  v: dom-6
severity:
  v: warning
human:
  v: A resource should have narrative for robust management
expression:
  v: text.`div`.exists()
xpath:
  v: exists(f:text/h:div)
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: presentedform-01
severity:
  v: warning
human:
  v: At least one of presented form has PDF format
expression:
  v: presentedForm.where(contentType = 'application/pdf').count() > 0
source:
  v: https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab
  l: cz-diagnostic-report-lab

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: v2
map:
  v: ORU -> OBR

identity:
  v: rim
map:
  v: Observation[classCode=OBS, moodCode=EVN]

id:
  v: DiagnosticReport.id
path:
  v: DiagnosticReport.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: DiagnosticReport.meta
path:
  v: DiagnosticReport.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: DiagnosticReport.implicitRules
path:
  v: DiagnosticReport.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: DiagnosticReport.language
path:
  v: DiagnosticReport.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: DiagnosticReport.text
path:
  v: DiagnosticReport.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: DiagnosticReport.contained
path:
  v: DiagnosticReport.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.extension
path:
  v: DiagnosticReport.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 1
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:DiagnosticReportCompositionR5
path:
  v: DiagnosticReport.extension
slice name:
  v: DiagnosticReportCompositionR5
short:
  v: Associated Lab Report Composition
definition:
  v: This extension implements the R5 composition element. It allow to link this DiagnosticReport with the Composition documenting this Laboratory Report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
    l: extension-DiagnosticReport.composition
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:DiagnosticReportCompositionR5.id
path:
  v: DiagnosticReport.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.extension:DiagnosticReportCompositionR5.extension
path:
  v: DiagnosticReport.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.extension:DiagnosticReportCompositionR5.url
path:
  v: DiagnosticReport.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
  l: extension-DiagnosticReport.composition
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.extension:DiagnosticReportCompositionR5.value[x]
path:
  v: DiagnosticReport.extension.value[x]
short:
  v: Reference to a Composition resource for the DiagnosticReport structure
definition:
  v: Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-composition-lab-report
    l: cz-composition-lab-report
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.modifierExtension
path:
  v: DiagnosticReport.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.identifier
path:
  v: DiagnosticReport.identifier
short:
  v: Report identifier
definition:
  v: Identifiers assigned to this Laboratory Report by the performer or other systems. It shall be common to several report versions
comment:
  v: Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists
requirements:
  v: Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.
alias:
  v: ReportID
alias:
  v: Filler ID
alias:
  v: Placer ID
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
mapping:
  identity:
    v: rim
  map:
    v: id

id:
  v: DiagnosticReport.basedOn
path:
  v: DiagnosticReport.basedOn
short:
  v: What was requested
definition:
  v: Details concerning a service requested.
comment:
  v: Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
requirements:
  v: This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
alias:
  v: Request
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-service-request-lab
    l: cz-service-request-lab
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC? OBR-2/3?
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=FLFS].target

id:
  v: DiagnosticReport.status
path:
  v: DiagnosticReport.status
short:
  v: Status of the Report
definition:
  v: The status of the diagnostic report.
comment:
  v: DiagnosticReport.status and Composition.status shall be aligned, based on the http://hl7.eu/fhir/laboratory/ConceptMap/ConceptMap-eu-diagRptStatus2CompStatus mapping
requirements:
  v: Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DiagnosticReportStatus
  strength:
    v: required
  description:
    v: The status of the diagnostic report.
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/diagnostic-report-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: OBR-25 (not 1:1 mapping)
mapping:
  identity:
    v: rim
  map:
    v: statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"

id:
  v: DiagnosticReport.category
path:
  v: DiagnosticReport.category
slicing:
  discriminator:
    type:
      v: pattern
    path:
      v: $this
  rules:
    v: open
short:
  v: Report Category
definition:
  v: A code that classifies this laboratory report. Two basic categories has been selected in this guide: laboratory specialty and Study type. Laboratory specialty is characteristic of the laboratory that produced the test result while Study type is an arbitrary classificion of the test type.
comment:
  v: DiagnosticReport.category and Composition.category shall be aligned
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips|2.0.0
    l: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DiagnosticServiceSection
  strength:
    v: example
  description:
    v: Codes for diagnostic service sections.
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1
    l: http://hl7.org/fhir/ValueSet/diagnostic-service-sections
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.category:studyType
path:
  v: DiagnosticReport.category
slice name:
  v: studyType
short:
  v: The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
definition:
  v: Laboratory services, i.e., results of tests performed, could be characterized using typology of services, commonly called study types. Study type could be seen as an attribute or grouping mechanism that assigns a common clinical sense to certain types of laboratory test results., e.g., Hemoglobin, Platelet count, etc. belongs to 'Hematology study'.
comment:
  v: In comparison to the laboratory specialty which is an attribute of laboratory, study type is a categorization of laboratory service. It needs to be mentioned that classification of test to study types in not standardized.
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
    l: cz-lab-study-types-VS
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.category:specialty
path:
  v: DiagnosticReport.category
slice name:
  v: specialty
short:
  v: The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
definition:
  v: Laboratory specialty is an attribute of any laboratory setting representing professional qualification of the laboratory to execute certain kind of laboratory tests.
comment:
  v: Specialty could be used as parameter for searching/querying of laboratory test results.
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
    l: cz-lab-speciality-types-VS
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.code
path:
  v: DiagnosticReport.code
short:
  v: Type of (Laboratory) Report
definition:
  v: Specifies that it refers to a Laboratory Report
comment:
  v: At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal
alias:
  v: Type
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips|2.0.0
    l: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: preferred
  value set:
    v: https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
    l: cz-lab-report-types-VS
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
mapping:
  identity:
    v: rim
  map:
    v: code

id:
  v: DiagnosticReport.subject
path:
  v: DiagnosticReport.subject
short:
  v: Who and/or what this report is about
definition:
  v: Who or what this report is about. The report can be about a human patient, a living subject, a device (e.g. a machine), a location or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).
comment:
  v: DiagnosticReport and Composition SHALL have the same subject
requirements:
  v: SHALL know the subject context.
alias:
  v: Patient
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal
    l: cz-patient-animal
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-location-core
    l: cz-location-core
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device
    l: cz-medical-device
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3 (no HL7 v2 mapping for Group or Device)
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=SBJ]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: DiagnosticReport.encounter
path:
  v: DiagnosticReport.encounter
short:
  v: The healthcare event which this Laboratory Report is about (when test ordered).
definition:
  v: The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
comment:
  v: This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests). DiagnosticReport and Composition SHALL have the same encounter.
requirements:
  v: Links the request to the Encounter context.
alias:
  v: Context
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Encounter
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.encounter
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: v2
  map:
    v: PV1-19
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

id:
  v: DiagnosticReport.effective[x]
path:
  v: DiagnosticReport.effective[x]
short:
  v: Clinically relevant time/time-period for report.
definition:
  v: The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.
comment:
  v: If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
requirements:
  v: Need to know where in the patient history to file/present this report.
alias:
  v: Observation time
alias:
  v: Effective Time
alias:
  v: Occurrence
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: OBR-7
mapping:
  identity:
    v: rim
  map:
    v: effectiveTime

id:
  v: DiagnosticReport.issued
path:
  v: DiagnosticReport.issued
short:
  v: DateTime this version was made
definition:
  v: The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
comment:
  v: May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
requirements:
  v: Clinicians need to be able to check the date that the report was released.
alias:
  v: Date published
alias:
  v: Date Issued
alias:
  v: Date Verified
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.issued
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: v2
  map:
    v: OBR-22
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=VRF or AUT].time

id:
  v: DiagnosticReport.performer
path:
  v: DiagnosticReport.performer
short:
  v: Responsible Diagnostic Service.
definition:
  v: The diagnostic service that is responsible for issuing the report.
comment:
  v: If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.
requirements:
  v: Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
alias:
  v: Laboratory
alias:
  v: Service
alias:
  v: Practitioner
alias:
  v: Department
alias:
  v: Company
alias:
  v: Authorized by
alias:
  v: Director
min:
  v: 0
max:
  v: *
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  path:
    v: DiagnosticReport.performer
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    v: 0
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    v: *
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  code:
    v: Reference
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    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
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  target profile:
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  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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  v: true
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    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: PRT-8 (where this PRT-4-Participation = "PO")
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: DiagnosticReport.resultsInterpreter
path:
  v: DiagnosticReport.resultsInterpreter
short:
  v: Primary result interpreter
definition:
  v: The practitioner or organization that is responsible for the report's conclusions and interpretations.
comment:
  v: If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.
requirements:
  v: Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
alias:
  v: Analyzed by
alias:
  v: Reported by
min:
  v: 0
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  v: *
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    v: *
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  code:
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    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
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    v: http://hl7.org/fhir/StructureDefinition/CareTeam
    l: CareTeam
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    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
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  v: false
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  v: true
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    v: workflow
  map:
    v: Event.performer.actor
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    v: w5
  map:
    v: FiveWs.actor
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  identity:
    v: v2
  map:
    v: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: DiagnosticReport.specimen
path:
  v: DiagnosticReport.specimen
short:
  v: Specimens this report is based on.
definition:
  v: Details about the specimens on which this diagnostic report is based.
comment:
  v: If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
requirements:
  v: Need to be able to report information about the collected specimens on which the report is based.
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  v: 0
max:
  v: *
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    v: DiagnosticReport.specimen
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    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
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    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-specimen-lab
    l: cz-specimen-lab
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: SPM
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=SBJ]

id:
  v: DiagnosticReport.result
path:
  v: DiagnosticReport.result
short:
  v: results
definition:
  v: [Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.
comment:
  v: Observations can contain observations.
requirements:
  v: Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
alias:
  v: Data
alias:
  v: Atomic Value
alias:
  v: Result
alias:
  v: Atomic result
alias:
  v: Data
alias:
  v: Test
alias:
  v: Analyte
alias:
  v: Battery
alias:
  v: Organizer
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  v: 0
max:
  v: *
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    v: DiagnosticReport.result
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    v: 0
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    v: *
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  code:
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    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory
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  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
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  v: false
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  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBXs
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=COMP].target

id:
  v: DiagnosticReport.imagingStudy
path:
  v: DiagnosticReport.imagingStudy
short:
  v: Reference to full details of imaging associated with the diagnostic report
definition:
  v: One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
comment:
  v: ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
min:
  v: 0
max:
  v: *
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  path:
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    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ImagingStudy
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]

id:
  v: DiagnosticReport.media
path:
  v: DiagnosticReport.media
short:
  v: Additional data (like images, diagrams or documents) associated with this report
definition:
  v: A list of additional data, other then presented form of the report, associated with this report. This data is generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
requirements:
  v: Some diagnostic reports may include additional data such as images, diagrams or documents that are relevant to the report. This additional information can provide further context and support for the findings presented in the report.
alias:
  v: DICOM
alias:
  v: Slides
alias:
  v: Scans
alias:
  v: DICOM; Slides; Scans; Pictures; Documents; Diagrams
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.media
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    v: *
type:
  code:
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    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
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  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: OBX?
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=COMP].target

id:
  v: DiagnosticReport.media.id
path:
  v: DiagnosticReport.media.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.media.extension
path:
  v: DiagnosticReport.media.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
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is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.media.modifierExtension
path:
  v: DiagnosticReport.media.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
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  v: *
base:
  path:
    v: BackboneElement.modifierExtension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
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  key:
    v: ext-1
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    v: error
  human:
    v: Must have either extensions or value[x], not both
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    v: extension.exists() != value.exists()
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    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
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    v: http://hl7.org/fhir/StructureDefinition/Extension
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is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.media.comment
path:
  v: DiagnosticReport.media.comment
short:
  v: Comment about the image or data (e.g. explanation)
definition:
  v: Allows for a comment about the image or data, such as an explanation of its significance or context within the diagnostic report.
comment:
  v: The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.
requirements:
  v: The provider of the report should make a comment about each image or data included in the report. This comment can provide valuable context and help the reader understand the significance of the image or data in relation to the overall findings of the report.
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  v: 0
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type:
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  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value

id:
  v: DiagnosticReport.media.link
path:
  v: DiagnosticReport.media.link
short:
  v: Reference to the image or data
definition:
  v: A reference to the image or data associated with this report.
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  v: 1
max:
  v: 1
base:
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    v: 1
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    v: 1
type:
  code:
    v: Reference
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  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Media|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Media
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .value.reference

id:
  v: DiagnosticReport.conclusion
path:
  v: DiagnosticReport.conclusion
short:
  v: Clinical conclusion (interpretation) of test results
definition:
  v: Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
requirements:
  v: Need to be able to provide a conclusion that is not lost among the basic result data.
alias:
  v: Report
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  v: 0
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  v: 1
base:
  path:
    v: DiagnosticReport.conclusion
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)

id:
  v: DiagnosticReport.conclusionCode
path:
  v: DiagnosticReport.conclusionCode
short:
  v: Codes for the clinical conclusion of test results
definition:
  v: One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.
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  v: 0
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  v: *
base:
  path:
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    v: 0
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    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: AdjunctDiagnosis
  strength:
    v: example
  description:
    v: Diagnosis codes provided as adjuncts to the report.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1
    l: http://hl7.org/fhir/ValueSet/clinical-findings
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)

id:
  v: DiagnosticReport.presentedForm
path:
  v: DiagnosticReport.presentedForm
short:
  v: Entire report as issued (pdf recommended)
definition:
  v: Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
comment:
  v: "application/pdf" is recommended as the most reliable and interoperable in this context.
requirements:
  v: Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.
min:
  v: 1
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  v: *
base:
  path:
    v: DiagnosticReport.presentedForm
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    v: 0
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    v: *
type:
  code:
    v: Attachment
    l: Attachment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: text (type=ED)

element:
  id:
    v: DiagnosticReport
  path:
    v: DiagnosticReport
  short:
    v: Laboratory Report DiagnosticReport
  definition:
    v: Laboratory Report DiagnosticReport
  constraint:
    key:
      v: presentedform-01
    severity:
      v: warning
    human:
      v: At least one of presented form has PDF format
    expression:
      v: presentedForm.where(contentType = 'application/pdf').count() > 0
    source:
      v: https://hl7.cz/fhir/lab/StructureDefinition/cz-diagnostic-report-lab
      l: cz-diagnostic-report-lab
element:
  id:
    v: DiagnosticReport.extension
  path:
    v: DiagnosticReport.extension
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    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 1
element:
  id:
    v: DiagnosticReport.extension:DiagnosticReportCompositionR5
  path:
    v: DiagnosticReport.extension
  slice name:
    v: DiagnosticReportCompositionR5
  short:
    v: Associated Lab Report Composition
  definition:
    v: This extension implements the R5 composition element. It allow to link this DiagnosticReport with the Composition documenting this Laboratory Report.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
      l: extension-DiagnosticReport.composition
element:
  id:
    v: DiagnosticReport.extension:DiagnosticReportCompositionR5.value[x]
  path:
    v: DiagnosticReport.extension.value[x]
  min:
    v: 1
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://hl7.cz/fhir/lab/StructureDefinition/cz-composition-lab-report
      l: cz-composition-lab-report
element:
  id:
    v: DiagnosticReport.identifier
  path:
    v: DiagnosticReport.identifier
  short:
    v: Report identifier
  definition:
    v: Identifiers assigned to this Laboratory Report by the performer or other systems. It shall be common to several report versions
  comment:
    v: Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists
element:
  id:
    v: DiagnosticReport.basedOn
  path:
    v: DiagnosticReport.basedOn
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://hl7.cz/fhir/lab/StructureDefinition/cz-service-request-lab
      l: cz-service-request-lab
element:
  id:
    v: DiagnosticReport.status
  path:
    v: DiagnosticReport.status
  short:
    v: Status of the Report
  comment:
    v: DiagnosticReport.status and Composition.status shall be aligned, based on the http://hl7.eu/fhir/laboratory/ConceptMap/ConceptMap-eu-diagRptStatus2CompStatus mapping
element:
  id:
    v: DiagnosticReport.category
  path:
    v: DiagnosticReport.category
  slicing:
    discriminator:
      type:
        v: pattern
      path:
        v: $this
    rules:
      v: open
  short:
    v: Report Category
  definition:
    v: A code that classifies this laboratory report. Two basic categories has been selected in this guide: laboratory specialty and Study type. Laboratory specialty is characteristic of the laboratory that produced the test result while Study type is an arbitrary classificion of the test type.
  comment:
    v: DiagnosticReport.category and Composition.category shall be aligned
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
    profile:
      v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips|2.0.0
      l: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
element:
  id:
    v: DiagnosticReport.category:studyType
  path:
    v: DiagnosticReport.category
  slice name:
    v: studyType
  short:
    v: The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
  definition:
    v: Laboratory services, i.e., results of tests performed, could be characterized using typology of services, commonly called study types. Study type could be seen as an attribute or grouping mechanism that assigns a common clinical sense to certain types of laboratory test results., e.g., Hemoglobin, Platelet count, etc. belongs to 'Hematology study'.
  comment:
    v: In comparison to the laboratory specialty which is an attribute of laboratory, study type is a categorization of laboratory service. It needs to be mentioned that classification of test to study types in not standardized.
  min:
    v: 0
  max:
    v: *
  binding:
    strength:
      v: required
    value set:
      v: https://hl7.cz/fhir/lab/ValueSet/cz-lab-study-types-VS
      l: cz-lab-study-types-VS
element:
  id:
    v: DiagnosticReport.category:specialty
  path:
    v: DiagnosticReport.category
  slice name:
    v: specialty
  short:
    v: The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
  definition:
    v: Laboratory specialty is an attribute of any laboratory setting representing professional qualification of the laboratory to execute certain kind of laboratory tests.
  comment:
    v: Specialty could be used as parameter for searching/querying of laboratory test results.
  min:
    v: 0
  max:
    v: *
  binding:
    strength:
      v: required
    value set:
      v: https://hl7.cz/fhir/lab/ValueSet/cz-lab-speciality-types-VS
      l: cz-lab-speciality-types-VS
element:
  id:
    v: DiagnosticReport.code
  path:
    v: DiagnosticReport.code
  short:
    v: Type of (Laboratory) Report
  definition:
    v: Specifies that it refers to a Laboratory Report
  comment:
    v: At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
    profile:
      v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips|2.0.0
      l: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
  binding:
    strength:
      v: preferred
    value set:
      v: https://hl7.cz/fhir/lab/ValueSet/cz-lab-report-types-VS
      l: cz-lab-report-types-VS

id:
  v: DiagnosticReport.subject
path:
  v: DiagnosticReport.subject
short:
  v: Who and/or what this report is about
definition:
  v: Who or what this report is about. The report can be about a human patient, a living subject, a device (e.g. a machine), a location or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).
comment:
  v: DiagnosticReport and Composition SHALL have the same subject
min:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal
    l: cz-patient-animal
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-location-core
    l: cz-location-core
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device
    l: cz-medical-device

id:
  v: DiagnosticReport.encounter
path:
  v: DiagnosticReport.encounter
short:
  v: The healthcare event which this Laboratory Report is about (when test ordered).
definition:
  v: The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
comment:
  v: This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests). DiagnosticReport and Composition SHALL have the same encounter.

id:
  v: DiagnosticReport.effective[x]
path:
  v: DiagnosticReport.effective[x]
short:
  v: Clinically relevant time/time-period for report.

id:
  v: DiagnosticReport.performer
path:
  v: DiagnosticReport.performer
short:
  v: Responsible Diagnostic Service.
comment:
  v: If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam
    l: CareTeam

id:
  v: DiagnosticReport.resultsInterpreter
path:
  v: DiagnosticReport.resultsInterpreter
comment:
  v: If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
  target profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam
    l: CareTeam

id:
  v: DiagnosticReport.specimen
path:
  v: DiagnosticReport.specimen
short:
  v: Specimens this report is based on.
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-specimen-lab
    l: cz-specimen-lab

id:
  v: DiagnosticReport.result
path:
  v: DiagnosticReport.result
short:
  v: results
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory

id:
  v: DiagnosticReport.media
path:
  v: DiagnosticReport.media
short:
  v: Additional data (like images, diagrams or documents) associated with this report
definition:
  v: A list of additional data, other then presented form of the report, associated with this report. This data is generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
requirements:
  v: Some diagnostic reports may include additional data such as images, diagrams or documents that are relevant to the report. This additional information can provide further context and support for the findings presented in the report.
alias:
  v: DICOM; Slides; Scans; Pictures; Documents; Diagrams
alias:
  v: Slides
alias:
  v: Scans

id:
  v: DiagnosticReport.media.comment
path:
  v: DiagnosticReport.media.comment
short:
  v: Comment about the image or data (e.g. explanation)
definition:
  v: Allows for a comment about the image or data, such as an explanation of its significance or context within the diagnostic report.
requirements:
  v: The provider of the report should make a comment about each image or data included in the report. This comment can provide valuable context and help the reader understand the significance of the image or data in relation to the overall findings of the report.

id:
  v: DiagnosticReport.media.link
path:
  v: DiagnosticReport.media.link
short:
  v: Reference to the image or data
definition:
  v: A reference to the image or data associated with this report.

id:
  v: DiagnosticReport.presentedForm
path:
  v: DiagnosticReport.presentedForm
short:
  v: Entire report as issued (pdf recommended)
min:
  v: 1