CH ELM (R4)
1.12.0 - ci-build
CH ELM (R4)
1.12.0 - 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 1.12.0 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
| Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-diagnosticreport | Version: 1.12.0 | |||
| Active as of 2025-09-19 | 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
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 | |||
| 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) |
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | |
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom 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() |
This structure is derived from ChLabDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| 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 Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 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 | |||||||
| 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) | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom 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-findingsFrom 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:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |||
| 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) |
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | |
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom 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() |
Differential View
This structure is derived from ChLabDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| 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:') |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 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 | |||||||
| 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) | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom 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-findingsFrom 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