0.1.0 - ci-build

RuSEMD, published by HL7 FHIR Россия. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-ru/Ru-SEMD/ and changes regularly. See the Directory of published versions

Resource Profile: PLI SEMD DiagnosticReport (Диагностический отчет лабораторных исследований СЭМД)

Official URL: https://fhir.ru/ig/semd/StructureDefinition/pli-semd-diagnosticreport Version: 0.1.0
Active as of 2025-07-15 Computable Name: PLI_SEMD_DiagnosticReport

Профиль DiagnosticReport для структурированных электронных медицинских документов лабораторных исследований

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* SEMD_DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:predefinedTestGroup 0..1 CodeableConcept Профиль назначения
URL: https://fhir.ru/ig/semd/StructureDefinition/predefined-test-group
Binding: Профили лабораторных исследований (required)
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Группа лабораторного исследования
Binding: Группы лабораторных исследований ФСЛИ (required)
... code SΣ 1..1 CodeableConcept Код типа документируемого события
Binding: Типы документированных событий (required)
... result SC 0..* Reference(SEMD Observation (Наблюдение СЭМД)) Результаты исследований

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryrequiredSEMD_Vs_Nsi_Lab_Test_Group(a valid code from Группы лабораторных исследований ФСЛИ)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-lab-test-group
From this IG
DiagnosticReport.coderequiredSEMD_Vs_Nsi_Event_Types(a valid code from Типы документируемых событий)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-event-types
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from SEMD_DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* SEMD_DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:predefinedTestGroup 0..1 CodeableConcept Профиль назначения
URL: https://fhir.ru/ig/semd/StructureDefinition/predefined-test-group
Binding: Профили лабораторных исследований (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* SEMD_DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:predefinedTestGroup 0..1 CodeableConcept Профиль назначения
URL: https://fhir.ru/ig/semd/StructureDefinition/predefined-test-group
Binding: Профили лабораторных исследований (required)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(SEMD ServiceRequest (Запрос/направление на оказание услуги СЭМД)) Основание для исследования
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Группа лабораторного исследования
Binding: Группы лабораторных исследований ФСЛИ (required)
... code SΣ 1..1 CodeableConcept Код типа документируемого события
Binding: Типы документированных событий (required)
... subject Σ 0..1 Reference(Пациент) Пациент
... encounter Σ 0..1 Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД)) Случай оказания медицинской помощи
... 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 0..* Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД) | SEMD CareTeam (Бригада)) Исполнитель
... resultsInterpreter Σ 0..* Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД)) Интерпретатор результатов
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result SC 0..* Reference(SEMD Observation (Наблюдение СЭМД)) Результаты исследований
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(GenomicStudy | ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... supportingInfo 0..* BackboneElement Additional information supporting the diagnostic 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
.... type 1..1 CodeableConcept Supporting information role code
Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 Reference(Procedure | Observation | DiagnosticReport | Citation) Supporting information reference
... media Σ 0..* BackboneElement Key images or data 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 or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Reference to a Composition resource for the DiagnosticReport structure
... conclusion 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryrequiredSEMD_Vs_Nsi_Lab_Test_Group(a valid code from Группы лабораторных исследований ФСЛИ)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-lab-test-group
From this IG
DiagnosticReport.coderequiredSEMD_Vs_Nsi_Event_Types(a valid code from Типы документируемых событий)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-event-types
From this IG
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from SEMD_DiagnosticReport

Summary

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* SEMD_DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:predefinedTestGroup 0..1 CodeableConcept Профиль назначения
URL: https://fhir.ru/ig/semd/StructureDefinition/predefined-test-group
Binding: Профили лабораторных исследований (required)
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Группа лабораторного исследования
Binding: Группы лабораторных исследований ФСЛИ (required)
... code SΣ 1..1 CodeableConcept Код типа документируемого события
Binding: Типы документированных событий (required)
... result SC 0..* Reference(SEMD Observation (Наблюдение СЭМД)) Результаты исследований

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryrequiredSEMD_Vs_Nsi_Lab_Test_Group(a valid code from Группы лабораторных исследований ФСЛИ)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-lab-test-group
From this IG
DiagnosticReport.coderequiredSEMD_Vs_Nsi_Event_Types(a valid code from Типы документируемых событий)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-event-types
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from SEMD_DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* SEMD_DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:predefinedTestGroup 0..1 CodeableConcept Профиль назначения
URL: https://fhir.ru/ig/semd/StructureDefinition/predefined-test-group
Binding: Профили лабораторных исследований (required)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* SEMD_DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:predefinedTestGroup 0..1 CodeableConcept Профиль назначения
URL: https://fhir.ru/ig/semd/StructureDefinition/predefined-test-group
Binding: Профили лабораторных исследований (required)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(SEMD ServiceRequest (Запрос/направление на оказание услуги СЭМД)) Основание для исследования
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Группа лабораторного исследования
Binding: Группы лабораторных исследований ФСЛИ (required)
... code SΣ 1..1 CodeableConcept Код типа документируемого события
Binding: Типы документированных событий (required)
... subject Σ 0..1 Reference(Пациент) Пациент
... encounter Σ 0..1 Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД)) Случай оказания медицинской помощи
... 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 0..* Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД) | SEMD CareTeam (Бригада)) Исполнитель
... resultsInterpreter Σ 0..* Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД)) Интерпретатор результатов
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result SC 0..* Reference(SEMD Observation (Наблюдение СЭМД)) Результаты исследований
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(GenomicStudy | ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... supportingInfo 0..* BackboneElement Additional information supporting the diagnostic 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
.... type 1..1 CodeableConcept Supporting information role code
Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 Reference(Procedure | Observation | DiagnosticReport | Citation) Supporting information reference
... media Σ 0..* BackboneElement Key images or data 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 or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Reference to a Composition resource for the DiagnosticReport structure
... conclusion 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryrequiredSEMD_Vs_Nsi_Lab_Test_Group(a valid code from Группы лабораторных исследований ФСЛИ)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-lab-test-group
From this IG
DiagnosticReport.coderequiredSEMD_Vs_Nsi_Event_Types(a valid code from Типы документируемых событий)
https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-event-types
From this IG
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from SEMD_DiagnosticReport

Summary

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron