Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
text
status		1..1	code	generated | extensions | additional | empty Required Pattern: empty
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
note	S	0..*	Annotation	BeExtNote URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note
Slices for identifier	S	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:DRID		1..1	Identifier	Business identifier for report
system		1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/lab-report/diagnostic-report-id
value		1..1	string	The value that is unique
basedOn	S	1..1	Reference(ServiceRequest)	A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription.
status	S	1..1	code	Status of the report: consult the HL7 list of permitted values
category	S	1..*	CodeableConcept	The subject of this specialty, expressed in a LOINC code.
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
coding:LABREPORT		1..1	Coding	Code defined by a terminology system
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code		0..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display		0..1	string	Representation defined by the system Fixed Value: Laboratory
code	S	1..1	CodeableConcept	Name/Code for this diagnostic report
subject	S	1..1	Reference(Patient core BE profile | Group | Device | Location)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
effective[x]	S	0..1	dateTime, Period	Time of the specimen collection - is overruled when collection time is given in .specimen element.
issued	S	1..1	instant	DateTime this version was made
performer	S	1..*	Reference(Organisation core BE profile | Practitioner core BE profile | CareTeam | Practitioner role core BE profile)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization.
resultsInterpreter	S	1..*	Reference(Practitioner core BE profile | Practitioner role core BE profile | Organisation core BE profile | CareTeam)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePractitioner.
specimen	S	0..*	Reference(BeSpecimenLaboratory)	Specimens this report is based on
result	S	0..*	Reference(BeObservationLaboratory)	Observations
media	S	0..*	BackboneElement	Key images associated with this report
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports 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		0..*	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
note	S	0..*	Annotation	BeExtNote URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
Slices for identifier	SΣ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:DRID	Σ	1..1	Identifier	Business identifier for report 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 Fixed Value: https://www.ehealth.fgov.be/lab-report/diagnostic-report-id
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
basedOn	S	1..1	Reference(ServiceRequest)	A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription. ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Status of the report: consult the HL7 list of permitted values Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category	SΣ	1..*	CodeableConcept	The subject of this specialty, expressed in a LOINC code. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code ele-1: All FHIR elements must have a @value or children
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
coding:LABREPORT	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code	Σ	0..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: LAB
display	Σ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: Laboratory
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient core BE profile | Group | Device | Location)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient. ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Time of the specimen collection - is overruled when collection time is given in .specimen element. ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	DateTime this version was made ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..*	Reference(Organisation core BE profile | Practitioner core BE profile | CareTeam | Practitioner role core BE profile)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization. ele-1: All FHIR elements must have a @value or children
resultsInterpreter	SΣ	1..*	Reference(Practitioner core BE profile | Practitioner role core BE profile | Organisation core BE profile | CareTeam)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePractitioner. ele-1: All FHIR elements must have a @value or children
specimen	S	0..*	Reference(BeSpecimenLaboratory)	Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	S	0..*	Reference(BeObservationLaboratory)	Observations ele-1: All FHIR elements must have a @value or children
media	SΣ	0..*	BackboneElement	Key images associated with this report ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
link	Σ	1..1	Reference(Media)	Reference to the image source ele-1: All FHIR elements must have a @value or children
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results ele-1: All FHIR elements must have a @value or children
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. ele-1: All FHIR elements must have a @value or children
presentedForm	S	0..*	Attachment	Entire report as issued ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.identifier:DRID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus 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.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: empty
div	C	1..1	xhtml	Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
note	S	0..*	Annotation	BeExtNote URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:DRID	Σ	1..1	Identifier	Business identifier for report
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 Fixed Value: https://www.ehealth.fgov.be/lab-report/diagnostic-report-id
value	Σ	1..1	string	The value that is unique Example General: 123456
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	S	1..1	Reference(ServiceRequest)	A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription.
status	?!SΣ	1..1	code	Status of the report: consult the HL7 list of permitted values Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	1..*	CodeableConcept	The subject of this specialty, expressed in a LOINC code. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:LABREPORT	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display	Σ	0..1	string	Representation defined by the system Fixed Value: Laboratory
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Patient core BE profile | Group | Device | Location)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	0..1		Time of the specimen collection - is overruled when collection time is given in .specimen element.
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	DateTime this version was made
performer	SΣ	1..*	Reference(Organisation core BE profile | Practitioner core BE profile | CareTeam | Practitioner role core BE profile)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization.
resultsInterpreter	SΣ	1..*	Reference(Practitioner core BE profile | Practitioner role core BE profile | Organisation core BE profile | CareTeam)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePractitioner.
specimen	S	0..*	Reference(BeSpecimenLaboratory)	Specimens this report is based on
result	S	0..*	Reference(BeObservationLaboratory)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	SΣ	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	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
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.text.status	required	Pattern: empty http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
DiagnosticReport.identifier:DRID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.identifier:DRID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus 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.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
txt-1	error	DiagnosticReport.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	DiagnosticReport.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Summary

Mandatory: 15 elements
Must-Support: 17 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• Organisation core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
• Practitioner core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• Practitioner role core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• BeSpecimenLaboratory (https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory)
• BeObservationLaboratory (https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier
• The element 1 is sliced based on the value of DiagnosticReport.category.coding

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
text
status		1..1	code	generated | extensions | additional | empty Required Pattern: empty
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
note	S	0..*	Annotation	BeExtNote URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note
Slices for identifier	S	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:DRID		1..1	Identifier	Business identifier for report
system		1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/lab-report/diagnostic-report-id
value		1..1	string	The value that is unique
basedOn	S	1..1	Reference(ServiceRequest)	A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription.
status	S	1..1	code	Status of the report: consult the HL7 list of permitted values
category	S	1..*	CodeableConcept	The subject of this specialty, expressed in a LOINC code.
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
coding:LABREPORT		1..1	Coding	Code defined by a terminology system
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code		0..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display		0..1	string	Representation defined by the system Fixed Value: Laboratory
code	S	1..1	CodeableConcept	Name/Code for this diagnostic report
subject	S	1..1	Reference(Patient core BE profile | Group | Device | Location)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
effective[x]	S	0..1	dateTime, Period	Time of the specimen collection - is overruled when collection time is given in .specimen element.
issued	S	1..1	instant	DateTime this version was made
performer	S	1..*	Reference(Organisation core BE profile | Practitioner core BE profile | CareTeam | Practitioner role core BE profile)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization.
resultsInterpreter	S	1..*	Reference(Practitioner core BE profile | Practitioner role core BE profile | Organisation core BE profile | CareTeam)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePractitioner.
specimen	S	0..*	Reference(BeSpecimenLaboratory)	Specimens this report is based on
result	S	0..*	Reference(BeObservationLaboratory)	Observations
media	S	0..*	BackboneElement	Key images associated with this report
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports 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		0..*	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
note	S	0..*	Annotation	BeExtNote URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
Slices for identifier	SΣ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:DRID	Σ	1..1	Identifier	Business identifier for report 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 Fixed Value: https://www.ehealth.fgov.be/lab-report/diagnostic-report-id
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
basedOn	S	1..1	Reference(ServiceRequest)	A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription. ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Status of the report: consult the HL7 list of permitted values Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category	SΣ	1..*	CodeableConcept	The subject of this specialty, expressed in a LOINC code. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code ele-1: All FHIR elements must have a @value or children
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
coding:LABREPORT	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code	Σ	0..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: LAB
display	Σ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: Laboratory
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient core BE profile | Group | Device | Location)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient. ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Time of the specimen collection - is overruled when collection time is given in .specimen element. ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	DateTime this version was made ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..*	Reference(Organisation core BE profile | Practitioner core BE profile | CareTeam | Practitioner role core BE profile)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization. ele-1: All FHIR elements must have a @value or children
resultsInterpreter	SΣ	1..*	Reference(Practitioner core BE profile | Practitioner role core BE profile | Organisation core BE profile | CareTeam)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePractitioner. ele-1: All FHIR elements must have a @value or children
specimen	S	0..*	Reference(BeSpecimenLaboratory)	Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	S	0..*	Reference(BeObservationLaboratory)	Observations ele-1: All FHIR elements must have a @value or children
media	SΣ	0..*	BackboneElement	Key images associated with this report ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
link	Σ	1..1	Reference(Media)	Reference to the image source ele-1: All FHIR elements must have a @value or children
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results ele-1: All FHIR elements must have a @value or children
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. ele-1: All FHIR elements must have a @value or children
presentedForm	S	0..*	Attachment	Entire report as issued ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.identifier:DRID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus 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.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: empty
div	C	1..1	xhtml	Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
note	S	0..*	Annotation	BeExtNote URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:DRID	Σ	1..1	Identifier	Business identifier for report
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 Fixed Value: https://www.ehealth.fgov.be/lab-report/diagnostic-report-id
value	Σ	1..1	string	The value that is unique Example General: 123456
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	S	1..1	Reference(ServiceRequest)	A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription.
status	?!SΣ	1..1	code	Status of the report: consult the HL7 list of permitted values Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	1..*	CodeableConcept	The subject of this specialty, expressed in a LOINC code. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:LABREPORT	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display	Σ	0..1	string	Representation defined by the system Fixed Value: Laboratory
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	SΣ	1..1	Reference(Patient core BE profile | Group | Device | Location)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	0..1		Time of the specimen collection - is overruled when collection time is given in .specimen element.
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	DateTime this version was made
performer	SΣ	1..*	Reference(Organisation core BE profile | Practitioner core BE profile | CareTeam | Practitioner role core BE profile)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization.
resultsInterpreter	SΣ	1..*	Reference(Practitioner core BE profile | Practitioner role core BE profile | Organisation core BE profile | CareTeam)	In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePractitioner.
specimen	S	0..*	Reference(BeSpecimenLaboratory)	Specimens this report is based on
result	S	0..*	Reference(BeObservationLaboratory)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	SΣ	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	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
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.text.status	required	Pattern: empty http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
DiagnosticReport.identifier:DRID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.identifier:DRID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus 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.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
txt-1	error	DiagnosticReport.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	DiagnosticReport.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Summary

Mandatory: 15 elements
Must-Support: 17 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• Organisation core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
• Practitioner core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• Practitioner role core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• BeSpecimenLaboratory (https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory)
• BeObservationLaboratory (https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-note

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier
• The element 1 is sliced based on the value of DiagnosticReport.category.coding

Maturity: 1