Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Reporte Diagnóstico

Reporte resultado de un o varios estudios para diagnosticar una enfermedad. Este perfil es el simil al DiagnosticReport(IPS).

Usages:

• Use this Profile: Bundle Resumen Clínico
• Refer to this Profile: Documento
• Examples for this Profile: DiagnosticReport/DiagnosticReportAlergia-CL-Ejemplo and DiagnosticReport/DiagnosticReportLab-CL-Ejemplo
• CapabilityStatements using this Profile: CapabilityStatement Servidor del Resumen Clínico de Paciente de Chile

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		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
category	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente | Group)	El sujeto del informe, generalmente, pero no siempre, es el paciente
reference	SΣC	1..1	string	Referencia literal, interna o url absoluta
effective[x]	SΣ	1..1		Tiempo o periodo de tiempo clínicamente relevante para el informe
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Servicio de Diagnóstico Responsable
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Interprete primario del resultado
specimen	S	0..*	Reference(Muestra)	Muestras en las que se basa este informe
Slices for result	S	0..*	Reference(CL Observación)	Observaciones Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico)	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología)	Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.effective[x].extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard

Constraints

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

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
status	S	1..1	code	registered | partial | preliminary | final + Required Pattern: final
category	S	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
code	S	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
subject	S	1..1	Reference(Paciente | Group)	El sujeto del informe, generalmente, pero no siempre, es el paciente
reference	S	1..1	string	Referencia literal, interna o url absoluta
effective[x]	S	1..1	dateTime, Period	Tiempo o periodo de tiempo clínicamente relevante para el informe
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
performer	S	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Servicio de Diagnóstico Responsable
resultsInterpreter	S	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Interprete primario del resultado
specimen	S	0..*	Reference(Muestra)	Muestras en las que se basa este informe
Slices for result	S	0..*	Reference(CL Observación)	Observaciones Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico)	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología)	Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.effective[x].extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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
extension		0..*	Extension	Additional content defined by implementations
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	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
category	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente | Group)	El sujeto del informe, generalmente, pero no siempre, es el paciente
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	SΣC	1..1	string	Referencia literal, interna o url absoluta
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)	Health care event when test ordered
effective[x]	SΣ	1..1		Tiempo o periodo de tiempo clínicamente relevante para el informe
effective[x]All Types				Content/Rules for all Types
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:data-absent-reason	S	0..1	(Complex)	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Servicio de Diagnóstico Responsable
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Interprete primario del resultado
specimen	S	0..*	Reference(Muestra)	Muestras en las que se basa este informe
Slices for result	S	0..*	Reference(CL Observación)	Observaciones Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico)	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología)	Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.effective[x].extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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

This structure is derived from DiagnosticReport

Summary

Mandatory: 4 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)
• Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips)
• Función o Rol de Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RolPrestador-cl-ips)
• Organización (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips)
• Muestra (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Specimen-cl-ips)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• Observación Resultado: Laboratorio/Patología (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-laboratorio-patologico-cl-ips)
• Observación Resultado: Imagenológico (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-radiology-cl-ips)
• Estudio de Imagenología (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/ImagingStudy-cl-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
category	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente | Group)	El sujeto del informe, generalmente, pero no siempre, es el paciente
reference	SΣC	1..1	string	Referencia literal, interna o url absoluta
effective[x]	SΣ	1..1		Tiempo o periodo de tiempo clínicamente relevante para el informe
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Servicio de Diagnóstico Responsable
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Interprete primario del resultado
specimen	S	0..*	Reference(Muestra)	Muestras en las que se basa este informe
Slices for result	S	0..*	Reference(CL Observación)	Observaciones Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico)	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología)	Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.effective[x].extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard

Constraints

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

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
status	S	1..1	code	registered | partial | preliminary | final + Required Pattern: final
category	S	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
code	S	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
subject	S	1..1	Reference(Paciente | Group)	El sujeto del informe, generalmente, pero no siempre, es el paciente
reference	S	1..1	string	Referencia literal, interna o url absoluta
effective[x]	S	1..1	dateTime, Period	Tiempo o periodo de tiempo clínicamente relevante para el informe
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
performer	S	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Servicio de Diagnóstico Responsable
resultsInterpreter	S	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Interprete primario del resultado
specimen	S	0..*	Reference(Muestra)	Muestras en las que se basa este informe
Slices for result	S	0..*	Reference(CL Observación)	Observaciones Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico)	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología)	Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.effective[x].extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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
extension		0..*	Extension	Additional content defined by implementations
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	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
category	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente | Group)	El sujeto del informe, generalmente, pero no siempre, es el paciente
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	SΣC	1..1	string	Referencia literal, interna o url absoluta
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)	Health care event when test ordered
effective[x]	SΣ	1..1		Tiempo o periodo de tiempo clínicamente relevante para el informe
effective[x]All Types				Content/Rules for all Types
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:data-absent-reason	S	0..1	(Complex)	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Servicio de Diagnóstico Responsable
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam)	Interprete primario del resultado
specimen	S	0..*	Reference(Muestra)	Muestras en las que se basa este informe
Slices for result	S	0..*	Reference(CL Observación)	Observaciones Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico)	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología)	Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.effective[x].extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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

This structure is derived from DiagnosticReport

Summary

Mandatory: 4 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)
• Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips)
• Función o Rol de Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RolPrestador-cl-ips)
• Organización (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips)
• Muestra (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Specimen-cl-ips)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• Observación Resultado: Laboratorio/Patología (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-laboratorio-patologico-cl-ips)
• Observación Resultado: Imagenológico (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-radiology-cl-ips)
• Estudio de Imagenología (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/ImagingStudy-cl-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron