HL7 Europe Base and Core FHIR IG
2.0.0-ci-build - ci-build 150

HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base-r5/ and changes regularly. See the Directory of published versions

Resource Profile: DiagnosticReport (EU core)

Official URL: http://hl7.eu/fhir/base-r5/StructureDefinition/diagnosticReport-eu-core Version: 2.0.0-ci-build
Standards status: Draft Maturity Level: 1 Computable Name: DiagnosticReportEuCore

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile sets minimum expectations for the DiagnosticReport resource for commonly used EHDS documents.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Diagnostic Report EU core
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:DiagnosticReportCompositionR5 0..1 (Complex) Associated 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(Composition (EU core)) Value of extension
.... extension:note 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] 1..1 Annotation Value of extension
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: hl7VS-commentType (example)
...... text Σ 1..1 markdown The annotation - text content (as markdown)
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result C 0..* Reference(Observation) results
... study 0..* Reference(GenomicStudy | ImagingStudy) Study subject to this report
... media Σ 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... 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
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📦2.0.0 THO v7.0
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦5.0.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When 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-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().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-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 DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport Diagnostic Report EU core
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... value[x] 1..1 Reference(Composition (EU core)) Value of extension
.... extension:note 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... value[x]
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ value[x] 1..1 CodeableConcept Type of note
... identifier 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... Slices for category 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
.... category:diagnostic-service 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
... code 1..1 CodeableConcept Type of Diagnostic Report
... subject 1..1 Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report.
... Slices for performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author 0..* Reference(PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... study 0..* Reference(GenomicStudy | ImagingStudy) Study subject to this report
... media 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link 1..1 Reference(DocumentReference) Reference to the image or data
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Diagnostic Report EU core
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:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... id 0..1 id 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(Composition (EU core)) Value of extension
.... extension:note 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... id 0..1 id 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.note"
..... value[x] 1..1 Annotation Value of extension
...... id 0..1 id Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: hl7VS-commentType (example)
...... author[x] Σ 0..1 Individual responsible for the annotation
....... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
....... authorString string
...... time Σ 0..1 dateTime When the annotation was made
...... text Σ 1..1 markdown The annotation - text content (as markdown)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result C 0..* Reference(Observation) results
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(GenomicStudy | ImagingStudy) Study subject to this 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 Additional data (like images, diagrams or documents) 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
... 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 (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required All Languages 📍5.0.0 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📦2.0.0 THO v7.0
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦5.0.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍5.0.0 FHIR Std.
DiagnosticReport.supportingInfo.​type Base example hl7VS-VS-observationType 📦2.0.0 THO v7.0
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When 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-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().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-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 DiagnosticReport

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Diagnostic Report EU core
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:DiagnosticReportCompositionR5 0..1 (Complex) Associated 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(Composition (EU core)) Value of extension
.... extension:note 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] 1..1 Annotation Value of extension
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: hl7VS-commentType (example)
...... text Σ 1..1 markdown The annotation - text content (as markdown)
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result C 0..* Reference(Observation) results
... study 0..* Reference(GenomicStudy | ImagingStudy) Study subject to this report
... media Σ 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... 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
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📦2.0.0 THO v7.0
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦5.0.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When 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-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().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-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 DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport Diagnostic Report EU core
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... value[x] 1..1 Reference(Composition (EU core)) Value of extension
.... extension:note 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... value[x]
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ value[x] 1..1 CodeableConcept Type of note
... identifier 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... Slices for category 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
.... category:diagnostic-service 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
... code 1..1 CodeableConcept Type of Diagnostic Report
... subject 1..1 Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report.
... Slices for performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author 0..* Reference(PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... study 0..* Reference(GenomicStudy | ImagingStudy) Study subject to this report
... media 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link 1..1 Reference(DocumentReference) Reference to the image or data
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦5.0.0 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport Diagnostic Report EU core
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:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... id 0..1 id 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(Composition (EU core)) Value of extension
.... extension:note 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... id 0..1 id 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.note"
..... value[x] 1..1 Annotation Value of extension
...... id 0..1 id Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: hl7VS-commentType (example)
...... author[x] Σ 0..1 Individual responsible for the annotation
....... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
....... authorString string
...... time Σ 0..1 dateTime When the annotation was made
...... text Σ 1..1 markdown The annotation - text content (as markdown)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result C 0..* Reference(Observation) results
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(GenomicStudy | ImagingStudy) Study subject to this 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 Additional data (like images, diagrams or documents) 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
... 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 (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required All Languages 📍5.0.0 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📦2.0.0 THO v7.0
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦5.0.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍5.0.0 FHIR Std.
DiagnosticReport.supportingInfo.​type Base example hl7VS-VS-observationType 📦2.0.0 THO v7.0
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When 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-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().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-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 DiagnosticReport

 

Other representations of profile: CSV, Excel, Schematron