HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-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/eps/ and changes regularly. See the Directory of published versions

• Content
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Resource Profile: DiagnosticReport (EPS)

This profile represents the constraints applied to the DiagnosticReport resource by this guide.

Usages:

• Refer to this Profile: Composition (EPS)

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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	OΣ	1..1	Reference(Patient (EU core) | Group)	Who and/or what this report is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	OΣ	1..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
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
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by profile:resolve()
result:observation-results	O	0..*	Reference(MedicalTestResult (EU core))	results Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReportEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS)
code	O	1..1	CodeableConcept	Type of Diagnostic Report Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	O	1..1	Reference(Patient (EU core) | Group)	Who and/or what this report is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	O	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	O	1..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
performer	O	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by profile:resolve()
result:observation-results	O	0..*	Reference(MedicalTestResult (EU core))	results Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS)
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 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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		0..1	Annotation	Comments about the diagnostic report
id		0..1	string	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 | 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	?!	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:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	OΣ	1..1	Reference(Patient (EU core) | Group)	Who and/or what this report is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Diagnostic Report is about (when test ordered).
Slices for effective[x]	OΣ	1..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
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.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by profile:resolve()
result:observation-results	O	0..*	Reference(MedicalTestResult (EU core))	results Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
imagingStudy		0..*	Reference(ImagingStudy)	Study subject to this report
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(Media)	Reference to the image or data
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	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	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReportEuCore

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• MedicalTestResult (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.result

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	OΣ	1..1	Reference(Patient (EU core) | Group)	Who and/or what this report is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	OΣ	1..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
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
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by profile:resolve()
result:observation-results	O	0..*	Reference(MedicalTestResult (EU core))	results Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReportEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS)
code	O	1..1	CodeableConcept	Type of Diagnostic Report Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	O	1..1	Reference(Patient (EU core) | Group)	Who and/or what this report is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	O	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	O	1..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
performer	O	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by profile:resolve()
result:observation-results	O	0..*	Reference(MedicalTestResult (EU core))	results Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS)
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 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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		0..1	Annotation	Comments about the diagnostic report
id		0..1	string	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 | 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	?!	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:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	OΣ	1..1	Reference(Patient (EU core) | Group)	Who and/or what this report is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Diagnostic Report is about (when test ordered).
Slices for effective[x]	OΣ	1..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
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.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by profile:resolve()
result:observation-results	O	0..*	Reference(MedicalTestResult (EU core))	results Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
imagingStudy		0..*	Reference(ImagingStudy)	Study subject to this report
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(Media)	Reference to the image or data
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	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	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReportEuCore

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• MedicalTestResult (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.result

Maturity: 1

Other representations of profile: CSV, Excel, Schematron