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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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Resource Profile: CH ELM DiagnosticReport: Laboratory Report

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

Usage:

• Use this Resource Profile: CH ELM Document: Laboratory Report

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from 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

Constraints

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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
DiagnosticReportCompositionR5		1..1	(Complex)	Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Persistent, unique identifier for the diagnostic report (UUID) ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH ELM Patient)	Who and/or what this report is about ele-1: All FHIR elements must have a @value or children
performer	Σ	1..1	Reference(CH ELM Organization: Lab)	Responsible Diagnostic Service. ele-1: All FHIR elements must have a @value or children
specimen		1..1	Reference(CH ELM Specimen: Laboratory)	Specimens this report is based on. ele-1: All FHIR elements must have a @value or children
result		1..1	Reference(CH ELM Observation Results: Laboratory)	results ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab

Constraints

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		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-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 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 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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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:

• CH ELM ServiceRequest: Laboratory Order (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-servicerequest-laboratory-order)
• CH ELM Patient (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient)
• CH ELM Organization: Lab (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-organization-lab)
• CH ELM Specimen: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-specimen)
• CH ELM Observation Results: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory)

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

Constraints

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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
DiagnosticReportCompositionR5		1..1	(Complex)	Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Persistent, unique identifier for the diagnostic report (UUID) ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH ELM Patient)	Who and/or what this report is about ele-1: All FHIR elements must have a @value or children
performer	Σ	1..1	Reference(CH ELM Organization: Lab)	Responsible Diagnostic Service. ele-1: All FHIR elements must have a @value or children
specimen		1..1	Reference(CH ELM Specimen: Laboratory)	Specimens this report is based on. ele-1: All FHIR elements must have a @value or children
result		1..1	Reference(CH ELM Observation Results: Laboratory)	results ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab

Constraints

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		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-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 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 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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	preferred	LabReportTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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:

• CH ELM ServiceRequest: Laboratory Order (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-servicerequest-laboratory-order)
• CH ELM Patient (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient)
• CH ELM Organization: Lab (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-organization-lab)
• CH ELM Specimen: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-specimen)
• CH ELM Observation Results: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory)

Other representations of profile: CSV, Excel, Schematron