Resumen Clínico de Paciente de Chile (IPS-CL), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.2.0 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 (IPS-CL)

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

Usage:

• Use this Resource Profile: Bundle Resumen Clínico
• Refer to this Resource Profile: Documento (IPS-CL)
• Examples for this Resource Profile: DiagnosticReport/DiagnosticReportAlergia-CL-Ejemplo and DiagnosticReport/DiagnosticReportLab-CL-Ejemplo

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
status	S	1..1	code	registered | partial | preliminary | final + Required Pattern: final
category	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
subject	S	1..1	Reference(Paciente (IPS-CL) | Group)	The subject of the report - usually, but not always, the patient
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	S	1..1	dateTime, Period	Clinically relevant time/time-period for report
Slices for extension				Content/Rules for all slices
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 (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	S	0..*	Reference(Prestador Individual (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Muestra (IPS-CL))	Specimens this report is based on
Slices for result	S	0..*	Reference(CL Observación)	Observations Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología (IPS-CL) | Observación Resultado: Imagenológico (IPS-CL))	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología (IPS-Cl))	Reference to full details of imaging associated with the diagnostic report
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
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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente (IPS-CL) | Group)	The subject of the report - usually, but not always, the patient
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
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 (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Muestra (IPS-CL))	Specimens this report is based on
Slices for result	S	0..*	Reference(CL Observación)	Observations Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología (IPS-CL) | Observación Resultado: Imagenológico (IPS-CL))	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología (IPS-Cl))	Reference to full details of imaging associated with the diagnostic report
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern: 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()

Name	Flags	Card.	Type	Description & Constraints
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
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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente (IPS-CL) | Group)	The subject of the report - usually, but not always, the patient
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	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)	Health care event when test ordered
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
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
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 (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Muestra (IPS-CL))	Specimens this report is based on
Slices for result	S	0..*	Reference(CL Observación)	Observations Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología (IPS-CL) | Observación Resultado: Imagenológico (IPS-CL))	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología (IPS-Cl))	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	Pattern: 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 (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)
• Prestador Individual (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips)
• Función o Rol de Prestador Individual (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RolPrestador-cl-ips)
• Organización (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips)
• Muestra (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Speciment-cl-ips)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• Observación Resultado: Laboratorio/Patología (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-laboratorio-patologico-cl-ips)
• Observación Resultado: Imagenológico (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-radiology-cl-ips)
• Estudio de Imagenología (IPS-Cl) (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

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
status	S	1..1	code	registered | partial | preliminary | final + Required Pattern: final
category	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
subject	S	1..1	Reference(Paciente (IPS-CL) | Group)	The subject of the report - usually, but not always, the patient
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	S	1..1	dateTime, Period	Clinically relevant time/time-period for report
Slices for extension				Content/Rules for all slices
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 (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	S	0..*	Reference(Prestador Individual (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Muestra (IPS-CL))	Specimens this report is based on
Slices for result	S	0..*	Reference(CL Observación)	Observations Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología (IPS-CL) | Observación Resultado: Imagenológico (IPS-CL))	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología (IPS-Cl))	Reference to full details of imaging associated with the diagnostic report
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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente (IPS-CL) | Group)	The subject of the report - usually, but not always, the patient
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
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 (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Muestra (IPS-CL))	Specimens this report is based on
Slices for result	S	0..*	Reference(CL Observación)	Observations Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología (IPS-CL) | Observación Resultado: Imagenológico (IPS-CL))	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología (IPS-Cl))	Reference to full details of imaging associated with the diagnostic report
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern: 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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Paciente (IPS-CL) | Group)	The subject of the report - usually, but not always, the patient
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	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)	Health care event when test ordered
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
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
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 (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	0..*	Reference(Prestador Individual (IPS-CL) | Función o Rol de Prestador Individual (IPS-CL) | Organización (IPS-CL) | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Muestra (IPS-CL))	Specimens this report is based on
Slices for result	S	0..*	Reference(CL Observación)	Observations Slice: Unordered, Open by profile:resolve()
result:observacion-resultados	S	0..*	Reference(Observación Resultado: Laboratorio/Patología (IPS-CL) | Observación Resultado: Imagenológico (IPS-CL))	Observations
imagingStudy		0..*	Reference(Estudio de Imagenología (IPS-Cl))	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	Pattern: 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 (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)
• Prestador Individual (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips)
• Función o Rol de Prestador Individual (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RolPrestador-cl-ips)
• Organización (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips)
• Muestra (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Speciment-cl-ips)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• Observación Resultado: Laboratorio/Patología (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-laboratorio-patologico-cl-ips)
• Observación Resultado: Imagenológico (IPS-CL) (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-radiology-cl-ips)
• Estudio de Imagenología (IPS-Cl) (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