HL7 Europe Laboratory Report
0.2.0-ci - ci-build 150

HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/laboratory/ and changes regularly. See the Directory of published versions

Resource Profile: DiagnosticReport: Laboratory Report

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab Version: 0.2.0-ci
Standards status: Trial-use Maturity Level: 2 Computable Name: DiagnosticReportLabEu

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project.

Previous results

This version of the guide uses the supportingInfo extension to the Observation lab results, for conveying the previous.

Implementers are invited to provide their feedback about the possible adoption of the supportingInfo extension to this DiagnosticReport profile

Adding a PDF, images or other kind of additional data in a DiagnosticReport

In some cases it is requested to include PDF, images or other kind of additional data in a Diagnostic Report.

If the PDF to be added is the representation of the entire Laboratory report, then this will be recorded in the optional element presentedForm

In case of images or other kinds of additional data (that can be a pdf document) used as support for the interpretation of the report, this is realized by using the optional element media.

Usage:

Formal Views of Profile Content

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

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... identifier 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... Slices for category 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report.
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen: Laboratory) Specimens this report is based on.
... result 0..* Reference(Observation Results: laboratory) results
... imagingStudy 0..0
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) 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..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen: Laboratory) Specimens this report is based on.
... result 0..* Reference(Observation Results: laboratory) results
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) 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..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory 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
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen: Laboratory) Specimens this report is based on.
... result 0..* Reference(Observation Results: laboratory) results
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... identifier 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... Slices for category 0..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report.
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen: Laboratory) Specimens this report is based on.
... result 0..* Reference(Observation Results: laboratory) results
... imagingStudy 0..0
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) 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..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory Report is about (when test ordered).
... effective[x] Σ 0..1 Clinically relevant time/time-period for report.
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen: Laboratory) Specimens this report is based on.
... result 0..* Reference(Observation Results: laboratory) results
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) 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..* CodeableConceptIPS Report Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty Σ 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code 1..1 CodeableConceptIPS Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient: Person | Patient: Animal | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Laboratory 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
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen: Laboratory) Specimens this report is based on.
... result 0..* Reference(Observation Results: laboratory) results
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
from this IG
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
from this IG
DiagnosticReport.codepreferredLabReportTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab
from this IG
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron