CH ELM (R4)
1.8.0-cibuild - ci-build
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
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ChLabDiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
subject | 1..1 | Reference(CH ELM Patient) | Who and/or what this report is about | |
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 | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. : startsWith('urn:uuid:') |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
identifier | Σ | 1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) |
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 | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
DiagnosticReport.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
DiagnosticReport.code | preferred | LabReportTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab |
Id | Grade | Path(s) | Details | Requirements |
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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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) | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
DiagnosticReport.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||
DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||
DiagnosticReport.code | preferred | LabReportTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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
Summary
Mandatory: 7 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from ChLabDiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
subject | 1..1 | Reference(CH ELM Patient) | Who and/or what this report is about | |
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 | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. : startsWith('urn:uuid:') |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
identifier | Σ | 1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) |
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 | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
DiagnosticReport.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
DiagnosticReport.code | preferred | LabReportTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab |
Id | Grade | Path(s) | Details | Requirements |
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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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) | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
DiagnosticReport.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||
DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||
DiagnosticReport.code | preferred | LabReportTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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
Summary
Mandatory: 7 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron