CH ELM (R4)
1.8.0-cibuild - ci-build 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 1.8.0-cibuild 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: 1.8.0-cibuild
Active as of 2024-12-03 Computable Name: ChElmDiagnosticReport

Copyright/Legal: CC0-1.0

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

Usage:

Formal Views of Profile Content

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

This structure is derived from ChLabDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
ch-elm-doc-identifier: The identifier must be an UUID.
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

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB 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
ch-elm-doc-identifier: The identifier must be an UUID.
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 pattern:$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

PathConformanceValueSet / CodeURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB 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
ch-elm-doc-identifier: The identifier must be an UUID.
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 pattern:$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

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ChLabDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
ch-elm-doc-identifier: The identifier must be an UUID.
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

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB 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
ch-elm-doc-identifier: The identifier must be an UUID.
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 pattern:$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

PathConformanceValueSet / CodeURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(CH LAB 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
ch-elm-doc-identifier: The identifier must be an UUID.
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 pattern:$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

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron