HL7 Czech Lab Epidemiology Guide
0.0.1 - ci-build

HL7 Czech Lab Epidemiology Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/lab-epi/ and changes regularly. See the Directory of published versions

## Resource Profile: DiagnosticReport – CZ Lab Report (message payload)

Official URL: https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-labreport-dr | Version: 0.0.1
Active as of 2025-12-19 | Computable Name: CZ_LabReport_DR

Diagnostický report jako hlavní payload – agregace Observations + odkazy na Pacienta, Vzorek, Žádanku a Laboratoř

Usages:

- Use this Profile: Bundle (message) – CZ Lab Report
- Refer to this Profile: MessageHeader – CZ Lab Report (message)

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 Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x] |  | 1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Report identifier
basedOn | S | 0..1 | Reference(ServiceRequest: Laboratory Order) | What was requested
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 0..* | CodeableConceptIPS(2.0.0) | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of (Laboratory) Report Binding: http://loinc.org (preferred)
subject | S Σ | 1..1 | Reference(Patient – CZ Lab (RID)) | Who and/or what this report is about
issued | S Σ | 1..1 | instant | DateTime this version was made
performer | S Σ | 1..* | Reference(Organization – CZ Lab (IČO/PCZ/ICP)) | Responsible Diagnostic Service.
specimen | S | 1..* | Reference(Specimen – CZ Lab) | Specimens this report is based on.
result | S | 1..* | Reference(Observation – CZ Lab Result (qual/quant, AST)) | results
presentedForm |  | 1..* | Attachment | Entire report as issued (pdf recommended)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.code | Base | preferred | http://loinc.org | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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 |  |  | CZ_DiagnosticReportLab | This profile also imposes the profile DiagnosticReport: Laboratory Report
identifier | S | 0..* | Identifier | Report identifier
basedOn | S | 0..1 | Reference(ServiceRequest: Laboratory Order) | What was requested
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Type of (Laboratory) Report Binding: http://loinc.org (preferred)
subject | S | 1..1 | Reference(Patient – CZ Lab (RID)) | Who and/or what this report is about
effective[x] |  | 0..0 |  | Clinically relevant time/time-period for report.
issued | S | 1..1 | instant | DateTime this version was made
performer | S | 1..* | Reference(Organization – CZ Lab (IČO/PCZ/ICP)) | Responsible Diagnostic Service.
specimen | S | 1..* | Reference(Specimen – CZ Lab) | Specimens this report is based on.
result | S | 1..* | Reference(Observation – CZ Lab Result (qual/quant, AST)) | results
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.code | Base | preferred | http://loinc.org | Not State | Unknown

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 Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x] |  | 1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Report identifier
basedOn | S | 0..1 | Reference(ServiceRequest: Laboratory Order) | What was requested
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 0..* | CodeableConceptIPS(2.0.0) | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of (Laboratory) Report Binding: http://loinc.org (preferred)
subject | S Σ | 1..1 | Reference(Patient – CZ Lab (RID)) | Who and/or what this report is about
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered).
issued | S Σ | 1..1 | instant | DateTime this version was made
performer | S Σ | 1..* | Reference(Organization – CZ Lab (IČO/PCZ/ICP)) | Responsible Diagnostic Service.
resultsInterpreter | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Primary result interpreter
specimen | S | 1..* | Reference(Specimen – CZ Lab) | Specimens this report is based on.
result | S | 1..* | Reference(Observation – CZ Lab Result (qual/quant, AST)) | results
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | Additional data (like images, diagrams or documents) 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 or data (e.g. explanation)
link | Σ | 1..1 | Reference(Media) | Reference to the image or data
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 (pdf recommended)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.code | Base | preferred | http://loinc.org | Not State | Unknown
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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

Mandatory: 4 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Patient – CZ Lab (RID) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-lab-patient)
- Organization – CZ Lab (IČO/PCZ/ICP) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-lab-organization)
- Specimen – CZ Lab (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-lab-specimen)
- Observation – CZ Lab Result (qual/quant, AST) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-labresult-obs)

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 Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x] |  | 1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Report identifier
basedOn | S | 0..1 | Reference(ServiceRequest: Laboratory Order) | What was requested
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 0..* | CodeableConceptIPS(2.0.0) | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of (Laboratory) Report Binding: http://loinc.org (preferred)
subject | S Σ | 1..1 | Reference(Patient – CZ Lab (RID)) | Who and/or what this report is about
issued | S Σ | 1..1 | instant | DateTime this version was made
performer | S Σ | 1..* | Reference(Organization – CZ Lab (IČO/PCZ/ICP)) | Responsible Diagnostic Service.
specimen | S | 1..* | Reference(Specimen – CZ Lab) | Specimens this report is based on.
result | S | 1..* | Reference(Observation – CZ Lab Result (qual/quant, AST)) | results
presentedForm |  | 1..* | Attachment | Entire report as issued (pdf recommended)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.code | Base | preferred | http://loinc.org | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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 |  |  | CZ_DiagnosticReportLab | This profile also imposes the profile DiagnosticReport: Laboratory Report
identifier | S | 0..* | Identifier | Report identifier
basedOn | S | 0..1 | Reference(ServiceRequest: Laboratory Order) | What was requested
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Type of (Laboratory) Report Binding: http://loinc.org (preferred)
subject | S | 1..1 | Reference(Patient – CZ Lab (RID)) | Who and/or what this report is about
effective[x] |  | 0..0 |  | Clinically relevant time/time-period for report.
issued | S | 1..1 | instant | DateTime this version was made
performer | S | 1..* | Reference(Organization – CZ Lab (IČO/PCZ/ICP)) | Responsible Diagnostic Service.
specimen | S | 1..* | Reference(Specimen – CZ Lab) | Specimens this report is based on.
result | S | 1..* | Reference(Observation – CZ Lab Result (qual/quant, AST)) | results
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.code | Base | preferred | http://loinc.org | Not State | Unknown

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 Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x] |  | 1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Report identifier
basedOn | S | 0..1 | Reference(ServiceRequest: Laboratory Order) | What was requested
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 0..* | CodeableConceptIPS(2.0.0) | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required)
category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of (Laboratory) Report Binding: http://loinc.org (preferred)
subject | S Σ | 1..1 | Reference(Patient – CZ Lab (RID)) | Who and/or what this report is about
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered).
issued | S Σ | 1..1 | instant | DateTime this version was made
performer | S Σ | 1..* | Reference(Organization – CZ Lab (IČO/PCZ/ICP)) | Responsible Diagnostic Service.
resultsInterpreter | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Primary result interpreter
specimen | S | 1..* | Reference(Specimen – CZ Lab) | Specimens this report is based on.
result | S | 1..* | Reference(Observation – CZ Lab Result (qual/quant, AST)) | results
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | Additional data (like images, diagrams or documents) 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 or data (e.g. explanation)
link | Σ | 1..1 | Reference(Media) | Reference to the image or data
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 (pdf recommended)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | HL7 CZ Laboratory IG vnull
DiagnosticReport.code | Base | preferred | http://loinc.org | Not State | Unknown
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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

Mandatory: 4 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Patient – CZ Lab (RID) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-lab-patient)
- Organization – CZ Lab (IČO/PCZ/ICP) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-lab-organization)
- Specimen – CZ Lab (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-lab-specimen)
- Observation – CZ Lab Result (qual/quant, AST) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-labresult-obs)

Other representations of profile: CSV, Excel, Schematron