HL7 Czech PS Implementation Guide
0.0.1 - ci-build Czechia flag

HL7 Czech PS Implementation 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/ps/ and changes regularly. See the Directory of published versions

Resource Profile: DiagnosticReport (CZ PS)

Official URL: https://hl7.cz/fhir/ps/StructureDefinition/cz-diagnosticreport-ps Version: 0.0.1
Draft as of 2026-08-15 Computable Name: CZ_DiagnosticReportPs

This profile represents the constraints applied to the DiagnosticReport resource by the Czech Patient Summary FHIR Implementation Guide. The DiagnosticReport resource is used to represent the findings and interpretations of diagnostic tests performed on patients.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* CZ_DiagnosticReportCore(1.1.0) Diagnostic Report CZ core
This profile also imposes the profile DiagnosticReport (EPS)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
..... extension 0..0 Extension
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 (EU core)(2.0.0)) Reference to a Composition resource for the DiagnosticReport structure
.... extension:note 0..* (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject Σ 1..1 Reference(Patient (CZ core)(1.1.0) | Group) Who and/or what this report is about
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for report.
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Effective period of the report
... Slices for performer Σ 0..* Reference(Practitioner (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (CZ core)(1.1.0)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0) | Practitioner (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0)) Primary result interpreter
... Slices for result 0..* Reference(Observation) results
Slice: Unordered, Open by profile:resolve()
.... result:observation-results 0..* Reference(Observation: Medical Test Result (CZ core)(1.1.0)) results

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍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 DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport CZ_DiagnosticReportCore(1.1.0) This profile also imposes the profile DiagnosticReport (EPS)
... subject 1..1 Reference(Patient (CZ core)(1.1.0) | Group) Who and/or what this report is about
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] 1..1 dateTime, Period Clinically relevant time/time-period for report.
... Slices for result 0..* Reference(Observation) results
Slice: Unordered, Open by profile:resolve()
.... result:observation-results 0..* Reference(Observation: Medical Test Result (CZ core)(1.1.0)) results

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* CZ_DiagnosticReportCore(1.1.0) Diagnostic Report CZ core
This profile also imposes the profile DiagnosticReport (EPS)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated 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..0 Extension
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 (EU core)(2.0.0)) Reference to a Composition resource for the DiagnosticReport structure
.... extension:note 0..* (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] 0..1 Annotation Comments about the diagnostic report
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: Hl7VSCommentType (3.0.0) (example)
...... author[x] Σ 0..1 Individual responsible for the annotation
....... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
....... authorString string
...... time Σ 0..1 dateTime When the annotation was made
...... text Σ 1..1 markdown The annotation - text content (as markdown)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject Σ 1..1 Reference(Patient (CZ core)(1.1.0) | Group) Who and/or what this report is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter (CZ base)(1.1.0)) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for report.
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Effective period of the report
... issued Σ 0..1 instant Date and time this report was issued
... Slices for performer Σ 0..* Reference(Practitioner (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (CZ core)(1.1.0)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0) | Practitioner (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0)) Primary result interpreter
... specimen 0..* Reference(Specimen (CZ Core)(1.1.0)) Specimens this report is based on.
... Slices for result 0..* Reference(Observation) results
Slice: Unordered, Open by profile:resolve()
.... result:observation-results 0..* Reference(Observation: Medical Test Result (CZ core)(1.1.0)) results
... imagingStudy 0..* Reference(ImagingStudy) Study subject to this 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
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:link 0..1 (Complex) DocumentReference containing additional information/attachments
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/alternate-reference"
....... value[x] 1..1 Reference(DocumentReference) Value of extension
..... display Σ 0..1 string Text alternative for the resource
... 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 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📍3.0.0 THO v7.3
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
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()

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.result

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* CZ_DiagnosticReportCore(1.1.0) Diagnostic Report CZ core
This profile also imposes the profile DiagnosticReport (EPS)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
..... extension 0..0 Extension
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 (EU core)(2.0.0)) Reference to a Composition resource for the DiagnosticReport structure
.... extension:note 0..* (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject Σ 1..1 Reference(Patient (CZ core)(1.1.0) | Group) Who and/or what this report is about
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for report.
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Effective period of the report
... Slices for performer Σ 0..* Reference(Practitioner (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (CZ core)(1.1.0)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0) | Practitioner (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0)) Primary result interpreter
... Slices for result 0..* Reference(Observation) results
Slice: Unordered, Open by profile:resolve()
.... result:observation-results 0..* Reference(Observation: Medical Test Result (CZ core)(1.1.0)) results

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍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 DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport CZ_DiagnosticReportCore(1.1.0) This profile also imposes the profile DiagnosticReport (EPS)
... subject 1..1 Reference(Patient (CZ core)(1.1.0) | Group) Who and/or what this report is about
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] 1..1 dateTime, Period Clinically relevant time/time-period for report.
... Slices for result 0..* Reference(Observation) results
Slice: Unordered, Open by profile:resolve()
.... result:observation-results 0..* Reference(Observation: Medical Test Result (CZ core)(1.1.0)) results

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* CZ_DiagnosticReportCore(1.1.0) Diagnostic Report CZ core
This profile also imposes the profile DiagnosticReport (EPS)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated 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..0 Extension
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 (EU core)(2.0.0)) Reference to a Composition resource for the DiagnosticReport structure
.... extension:note 0..* (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] 0..1 Annotation Comments about the diagnostic report
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: Hl7VSCommentType (3.0.0) (example)
...... author[x] Σ 0..1 Individual responsible for the annotation
....... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
....... authorString string
...... time Σ 0..1 dateTime When the annotation was made
...... text Σ 1..1 markdown The annotation - text content (as markdown)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject Σ 1..1 Reference(Patient (CZ core)(1.1.0) | Group) Who and/or what this report is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter (CZ base)(1.1.0)) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for report.
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Effective period of the report
... issued Σ 0..1 instant Date and time this report was issued
... Slices for performer Σ 0..* Reference(Practitioner (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (CZ core)(1.1.0)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0) | Practitioner (CZ core)(1.1.0) | Organization (CZ core)(1.1.0) | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner Role (CZ core)(1.1.0)) Primary result interpreter
... specimen 0..* Reference(Specimen (CZ Core)(1.1.0)) Specimens this report is based on.
... Slices for result 0..* Reference(Observation) results
Slice: Unordered, Open by profile:resolve()
.... result:observation-results 0..* Reference(Observation: Medical Test Result (CZ core)(1.1.0)) results
... imagingStudy 0..* Reference(ImagingStudy) Study subject to this 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
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:link 0..1 (Complex) DocumentReference containing additional information/attachments
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/alternate-reference"
....... value[x] 1..1 Reference(DocumentReference) Value of extension
..... display Σ 0..1 string Text alternative for the resource
... 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 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📍3.0.0 THO v7.3
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
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()

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.result

 

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