HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
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
| Official URL: http://hl7.eu/fhir/eps/StructureDefinition/diagnosticReport-eu-eps | Version: 1.0.0-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: DiagnosticReportEuEps | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile constrains the DiagnosticReport resource in the scope of the European Patient Summary.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS) | |||||||||
  implicitRules |
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) | R5: Comments about the diagnostic report (new) 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 |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
 code |
1..1 | CodeableConcept | Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who and/or what this report is about
| |||||||||
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
 effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report
| |||||||||
 effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve()
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | |||||||||
 Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (EU core)) | results
| |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| 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: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS) | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the diagnostic report content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
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) | R5: Comments about the diagnostic report (new) 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||||||
| value[x] |
1..1 | CodeableConcept | Type of note Binding: hl7VS-commentType (example) | |||||||||
 author[x] |
0..1 | Individual responsible for the annotation | ||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||
| authorString |
string | |||||||||||
| time |
0..1 | dateTime | When the annotation was made | |||||||||
| text |
1..1 | markdown | The annotation - text content (as markdown) | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business identifier for report | |||||||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| category |
0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| code |
1..1 | CodeableConcept | Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who and/or what this report is about
| |||||||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered). | |||||||||
| Slices for effective[x] |
1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report
| |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| issued |
0..1 | instant | Date and time this report was issued | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve()
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:author |
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() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (EU core)) | results
| |||||||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Study subject to this report | |||||||||
| media |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||||||
| link |
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 | ||||||||||||
| 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 | 📦3.0.0 | THO v7.4 |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | 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. |
| 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:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS) | |||||||||
| implicitRules |
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) | R5: Comments about the diagnostic report (new) 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 |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| code |
1..1 | CodeableConcept | Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who and/or what this report is about
| |||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report
| |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve()
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | |||||||||
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (EU core)) | results
| |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| 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: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReportEuCore | This profile also imposes the profile DiagnosticReport (IPS) | ||||||||||
 code |
1..1 | CodeableConcept | Type of Diagnostic Report
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who and/or what this report is about
| |||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||
| effective[x] |
1..1 | dateTime, Period | Clinically relevant time/time-period for report.
| |||||||||
| Slices for effective[x] |
Content/Rules for all slices | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report
| |||||||||
| performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service.
| |||||||||
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (EU core)) | results
| |||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (IPS) | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the diagnostic report content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
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) | R5: Comments about the diagnostic report (new) 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||||||
| value[x] |
1..1 | CodeableConcept | Type of note Binding: hl7VS-commentType (example) | |||||||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||
| authorString |
string | |||||||||||
| time |
0..1 | dateTime | When the annotation was made | |||||||||
| text |
1..1 | markdown | The annotation - text content (as markdown) | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business identifier for report | |||||||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| category |
0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| code |
1..1 | CodeableConcept | Type of Diagnostic Report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who and/or what this report is about
| |||||||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered). | |||||||||
| Slices for effective[x] |
1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report
| |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| issued |
0..1 | instant | Date and time this report was issued | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve()
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:author |
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() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (EU core)) | results
| |||||||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Study subject to this report | |||||||||
| media |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||||||
| link |
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 | ||||||||||||
| 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 | 📦3.0.0 | THO v7.4 |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | 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. |
| 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:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-10-16
