CH ELM (R4)
1.12.0 - release Switzerland flag

CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.12.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions

Resource Profile: CH ELM DiagnosticReport: Laboratory Report

Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-diagnosticreport Version: 1.12.0
Active as of 2025-10-29 Computable Name: ChElmDiagnosticReport

Copyright/Legal: CC0-1.0

This CH ELM base profile constrains the DiagnosticReport resource for the purpose of laboratory test reports.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ChLabDiagnosticReport CH ELM DiagnosticReport: Laboratory Report
This profile also imposes the profile DiagnosticReport: Laboratory Report
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB-Report Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC 1..1 string The value that is unique
Constraints: ch-elm-doc-identifier
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1 Reference(CH ELM ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... Slices for category Σ 0..* CodeableConcept Report Category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(CH ELM Patient) Who and/or what this report is about
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Responsible Diagnostic Service.
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimens this report is based on.
... result 1..1 Reference(CH ELM Observation Results: Laboratory) results

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1

Constraints

Id Grade Path(s) Description Expression
ch-elm-doc-identifier error DiagnosticReport.identifier.value The identifier must be an UUID. startsWith('urn:uuid:')
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 ChLabDiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ChLabDiagnosticReport CH ELM DiagnosticReport: Laboratory Report
This profile also imposes the profile DiagnosticReport: Laboratory Report
... identifier 1..1 Identifier Persistent, unique identifier for the diagnostic report (UUID)
.... system 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value C 1..1 string The value that is unique
Constraints: ch-elm-doc-identifier
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1 Reference(CH ELM ServiceRequest: Laboratory Order) What was requested
... status 1..1 code Status of the Report
Required Pattern: final
... performer 1..1 Reference(CH ELM Organization: Lab) Responsible Diagnostic Service.
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimens this report is based on.
... result 1..1 Reference(CH ELM Observation Results: Laboratory) results

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ch-elm-doc-identifier error DiagnosticReport.identifier.value The identifier must be an UUID. startsWith('urn:uuid:')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ChLabDiagnosticReport CH ELM DiagnosticReport: Laboratory Report
This profile also imposes the profile DiagnosticReport: Laboratory Report
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... 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/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB-Report Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Persistent, unique identifier for the diagnostic report (UUID)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC 1..1 string The value that is unique
Constraints: ch-elm-doc-identifier
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn 1..1 Reference(CH ELM ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... Slices for category Σ 0..* CodeableConcept Report Category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(CH ELM Patient) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimens this report is based on.
... result 1..1 Reference(CH ELM Observation Results: Laboratory) results
... 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 (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.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ch-elm-doc-identifier error DiagnosticReport.identifier.value The identifier must be an UUID. startsWith('urn:uuid:')
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ChLabDiagnosticReport CH ELM DiagnosticReport: Laboratory Report
This profile also imposes the profile DiagnosticReport: Laboratory Report
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB-Report Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC 1..1 string The value that is unique
Constraints: ch-elm-doc-identifier
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1 Reference(CH ELM ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... Slices for category Σ 0..* CodeableConcept Report Category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(CH ELM Patient) Who and/or what this report is about
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Responsible Diagnostic Service.
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimens this report is based on.
... result 1..1 Reference(CH ELM Observation Results: Laboratory) results

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1

Constraints

Id Grade Path(s) Description Expression
ch-elm-doc-identifier error DiagnosticReport.identifier.value The identifier must be an UUID. startsWith('urn:uuid:')
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 ChLabDiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ChLabDiagnosticReport CH ELM DiagnosticReport: Laboratory Report
This profile also imposes the profile DiagnosticReport: Laboratory Report
... identifier 1..1 Identifier Persistent, unique identifier for the diagnostic report (UUID)
.... system 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value C 1..1 string The value that is unique
Constraints: ch-elm-doc-identifier
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1 Reference(CH ELM ServiceRequest: Laboratory Order) What was requested
... status 1..1 code Status of the Report
Required Pattern: final
... performer 1..1 Reference(CH ELM Organization: Lab) Responsible Diagnostic Service.
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimens this report is based on.
... result 1..1 Reference(CH ELM Observation Results: Laboratory) results

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ch-elm-doc-identifier error DiagnosticReport.identifier.value The identifier must be an UUID. startsWith('urn:uuid:')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ChLabDiagnosticReport CH ELM DiagnosticReport: Laboratory Report
This profile also imposes the profile DiagnosticReport: Laboratory Report
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... 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/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB-Report Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Persistent, unique identifier for the diagnostic report (UUID)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC 1..1 string The value that is unique
Constraints: ch-elm-doc-identifier
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn 1..1 Reference(CH ELM ServiceRequest: Laboratory Order) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... Slices for category Σ 0..* CodeableConcept Report Category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(CH ELM Patient) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimens this report is based on.
... result 1..1 Reference(CH ELM Observation Results: Laboratory) results
... 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 (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.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ch-elm-doc-identifier error DiagnosticReport.identifier.value The identifier must be an UUID. startsWith('urn:uuid:')
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()

 

Other representations of profile: CSV, Excel, Schematron