Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions

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

Resource Profile: DiagnosticReport BioSignal- IEHR

Usage:

• Refer to this Resource Profile: HospitalDischargeReport-IEHR
• Examples for this Resource Profile: DiagnosticReport/4111, DiagnosticReport/5111 and DiagnosticReport/9111

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 DiagnosticReportIEHR

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportIEHR	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-7: At least one of Media and ImagingReport SHALL be present
category	S	1..1	CodeableConcept	Service category Binding: BioSignalCategories ValueSet-IEHR (required)
specimen	S	0..0
result	S	0..1	Reference(BioSignal-IEHR)	Observations
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.category	required	BioSignalCategoriesValueSetIEHR http://interopehrate.eu/fhir/ValueSet/BioSignalCategories-IEHR from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-7	error	DiagnosticReport	At least one of Media and ImagingReport SHALL be present : media.exists() or imagingStudy.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportIEHR	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-7: At least one of Media and ImagingReport SHALL be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
Provenance	S	1..1	Reference(Provenance-IEHR)	Extension URL: http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR
DocumentReference	S	0..*	Reference(DocumentReference-IEHR)	DocumentReference URL: http://interopehrate.eu/fhir/StructureDefinition/UnstructuredResultExtension-IEHR
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business identifier for report
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Fixed Value: final
category	SΣ	1..1	CodeableConcept	Service category Binding: BioSignalCategories ValueSet-IEHR (required)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Patient-IEHR | Group)	The subject of the report - usually, but not always, the patient
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	0..1	Reference(Encounter-IEHR)	Health care event when test ordered
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period(PeriodIEHR)
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Primary result interpreter
result	S	0..1	Reference(BioSignal-IEHR)	Observations
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	Fixed Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	required	BioSignalCategoriesValueSetIEHR http://interopehrate.eu/fhir/ValueSet/BioSignalCategories-IEHR from this IG
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes 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()
dom-7	error	DiagnosticReport	At least one of Media and ImagingReport SHALL be present : media.exists() or imagingStudy.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..*	DiagnosticReportIEHR	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-7: At least one of Media and ImagingReport SHALL be present
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	S	1..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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
Provenance	S	1..1	Reference(Provenance-IEHR)	Extension URL: http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR
DocumentReference	S	0..*	Reference(DocumentReference-IEHR)	DocumentReference URL: http://interopehrate.eu/fhir/StructureDefinition/UnstructuredResultExtension-IEHR
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	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. Fixed Value: final
category	SΣ	1..1	CodeableConcept	Service category Binding: BioSignalCategories ValueSet-IEHR (required)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Patient-IEHR | 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	SΣ	0..1	Reference(Encounter-IEHR)	Health care event when test ordered
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period(PeriodIEHR)
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Primary result interpreter
result	S	0..1	Reference(BioSignal-IEHR)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	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	C	0..*	AttachmentIEHR	Content in a format defined elsewhere att-1: If the Attachment has data, it SHALL have a contentType attIEHR-1: At least one of data and url SHALL be present
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	Fixed Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	required	BioSignalCategoriesValueSetIEHR http://interopehrate.eu/fhir/ValueSet/BioSignalCategories-IEHR from this IG
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.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	DiagnosticReport.presentedForm	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
attIEHR-1	error	DiagnosticReport.presentedForm	At least one of data and url SHALL be present : data.exists() or url.exists()
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()
dom-7	error	DiagnosticReport	At least one of Media and ImagingReport SHALL be present : media.exists() or imagingStudy.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 DiagnosticReportIEHR

Summary

Mandatory: 1 element
Must-Support: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• BioSignal-IEHR (http://interopehrate.eu/fhir/StructureDefinition/Observation-BioSignal-IEHR)

Differential View

This structure is derived from DiagnosticReportIEHR

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportIEHR	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-7: At least one of Media and ImagingReport SHALL be present
category	S	1..1	CodeableConcept	Service category Binding: BioSignalCategories ValueSet-IEHR (required)
specimen	S	0..0
result	S	0..1	Reference(BioSignal-IEHR)	Observations
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.category	required	BioSignalCategoriesValueSetIEHR http://interopehrate.eu/fhir/ValueSet/BioSignalCategories-IEHR from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-7	error	DiagnosticReport	At least one of Media and ImagingReport SHALL be present : media.exists() or imagingStudy.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportIEHR	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-7: At least one of Media and ImagingReport SHALL be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
Provenance	S	1..1	Reference(Provenance-IEHR)	Extension URL: http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR
DocumentReference	S	0..*	Reference(DocumentReference-IEHR)	DocumentReference URL: http://interopehrate.eu/fhir/StructureDefinition/UnstructuredResultExtension-IEHR
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business identifier for report
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Fixed Value: final
category	SΣ	1..1	CodeableConcept	Service category Binding: BioSignalCategories ValueSet-IEHR (required)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Patient-IEHR | Group)	The subject of the report - usually, but not always, the patient
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	0..1	Reference(Encounter-IEHR)	Health care event when test ordered
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period(PeriodIEHR)
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Primary result interpreter
result	S	0..1	Reference(BioSignal-IEHR)	Observations
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	Fixed Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	required	BioSignalCategoriesValueSetIEHR http://interopehrate.eu/fhir/ValueSet/BioSignalCategories-IEHR from this IG
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes 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()
dom-7	error	DiagnosticReport	At least one of Media and ImagingReport SHALL be present : media.exists() or imagingStudy.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..*	DiagnosticReportIEHR	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-7: At least one of Media and ImagingReport SHALL be present
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	S	1..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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
Provenance	S	1..1	Reference(Provenance-IEHR)	Extension URL: http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR
DocumentReference	S	0..*	Reference(DocumentReference-IEHR)	DocumentReference URL: http://interopehrate.eu/fhir/StructureDefinition/UnstructuredResultExtension-IEHR
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	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. Fixed Value: final
category	SΣ	1..1	CodeableConcept	Service category Binding: BioSignalCategories ValueSet-IEHR (required)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Patient-IEHR | 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	SΣ	0..1	Reference(Encounter-IEHR)	Health care event when test ordered
effective[x]	SΣ	1..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period(PeriodIEHR)
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)	Primary result interpreter
result	S	0..1	Reference(BioSignal-IEHR)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	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	C	0..*	AttachmentIEHR	Content in a format defined elsewhere att-1: If the Attachment has data, it SHALL have a contentType attIEHR-1: At least one of data and url SHALL be present
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	Fixed Value: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	required	BioSignalCategoriesValueSetIEHR http://interopehrate.eu/fhir/ValueSet/BioSignalCategories-IEHR from this IG
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.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	DiagnosticReport.presentedForm	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
attIEHR-1	error	DiagnosticReport.presentedForm	At least one of data and url SHALL be present : data.exists() or url.exists()
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()
dom-7	error	DiagnosticReport	At least one of Media and ImagingReport SHALL be present : media.exists() or imagingStudy.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 DiagnosticReportIEHR

Summary

Mandatory: 1 element
Must-Support: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• BioSignal-IEHR (http://interopehrate.eu/fhir/StructureDefinition/Observation-BioSignal-IEHR)

Other representations of profile: CSV, Excel, Schematron