CH ELM (R4)
1.16.0 - ci-build
CH ELM (R4)
1.16.0 - 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 1.16.0 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: 1.16.0 | ||||
| Active as of 2026-10-22 | Computable Name: ChElmDiagnosticReport | ||||
Copyright/Legal: CC0-1.0 |
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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 Differentials, Snapshots, and other representations.
| 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 |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:DiagnosticReportCompositionR5 |
1..1 | (Complex) | Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
  value[x] |
1..1 | Reference(CH LAB-Report Composition: Laboratory Report) | Value of extension | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |
 value |
C | 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 |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final (extensions allowed) | |
 Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |
 category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |
| 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ChLabDiagnosticReport
| 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 (extensions allowed) | |
| 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 (extensions allowed) | |
| 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) | Description | Expression |
| 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 |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||
| value[x] |
1..1 | Reference(CH LAB-Report Composition: Laboratory Report) | Value of extension | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
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 |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
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 |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |||||
| value |
C | 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 |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
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 |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final (extensions allowed) | |||||
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |||||
| subject |
1..1 | Reference(CH ELM Patient) | Who and/or what this report is about | |||||
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |||||
 effective[x] |
0..1 | Clinically relevant time/time-period for report. | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
0..1 | instant | DateTime this version was made | |||||
| performer |
1..1 | Reference(CH ELM Organization: Lab) | Responsible Diagnostic Service. | |||||
| resultsInterpreter |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
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 | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ChLabDiagnosticReport
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 |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:DiagnosticReportCompositionR5 |
1..1 | (Complex) | Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
1..1 | Reference(CH LAB-Report Composition: Laboratory Report) | Value of extension | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..1 | Identifier | Persistent, unique identifier for the diagnostic report (UUID) | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |
| value |
C | 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 |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final (extensions allowed) | |
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |
| 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from ChLabDiagnosticReport
| 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 (extensions allowed) | |
| 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 (extensions allowed) | |
| 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) | Description | Expression |
| ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
Snapshot ViewView
| 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 |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||
| value[x] |
1..1 | Reference(CH LAB-Report Composition: Laboratory Report) | Value of extension | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
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 |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
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 |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 (extensions allowed) | |||||
| value |
C | 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 |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
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 |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final (extensions allowed) | |||||
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |||||
| subject |
1..1 | Reference(CH ELM Patient) | Who and/or what this report is about | |||||
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |||||
| effective[x] |
0..1 | Clinically relevant time/time-period for report. | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
0..1 | instant | DateTime this version was made | |||||
| performer |
1..1 | Reference(CH ELM Organization: Lab) | Responsible Diagnostic Service. | |||||
| resultsInterpreter |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
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 | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:studyType | Base | required | Laboratory Study Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦0.1.1 | HL7 Europe Laboratory Report v0.1 |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-elm-doc-identifier | error | DiagnosticReport.identifier.value | The identifier must be an UUID. |
startsWith('urn:uuid:')
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ChLabDiagnosticReport
Summary
Mandatory: 7 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron