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 Draft as of 2025-12-01 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.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Reference to a Composition resource for the DiagnosticReport structure
... 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(2.0.0) 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 Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient (EU core) | 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
... media Σ 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image or data
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.2.0-ci This IG
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.2.0-ci This IG
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.2.0-ci This IG

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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension: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) Reference to a Composition resource for the DiagnosticReport structure
... identifier 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... Slices for category 0..* CodeableConceptIPS(2.0.0) 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(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject 1..1 Reference(Patient (EU core) | 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 Reference to full details of imaging associated with the diagnostic report
... media 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link 1..1 Reference(Media) Reference to the image or data
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.2.0-ci This IG
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.2.0-ci This IG
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.2.0-ci This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report 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..* Extension Additional content defined by implementations
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: Laboratory Report) Reference to a Composition resource for the DiagnosticReport structure
... 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(2.0.0) 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 Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient (EU core) | 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 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
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:studyType Base required Laboratory Study Types 📦0.2.0-ci This IG
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.2.0-ci This IG
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.2.0-ci This IG
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition: Laboratory Report) Reference to a Composition resource for the DiagnosticReport structure
... 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(2.0.0) 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 Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient (EU core) | 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
... media Σ 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image or data
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.2.0-ci This IG
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.2.0-ci This IG
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.2.0-ci This IG

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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport Laboratory Report DiagnosticReport
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension: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) Reference to a Composition resource for the DiagnosticReport structure
... identifier 0..* Identifier Report identifier
... basedOn 0..* Reference(ServiceRequest: Laboratory Order) What was requested
... Slices for category 0..* CodeableConceptIPS(2.0.0) 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(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject 1..1 Reference(Patient (EU core) | 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 Reference to full details of imaging associated with the diagnostic report
... media 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link 1..1 Reference(Media) Reference to the image or data
... presentedForm 0..* Attachment Entire report as issued (pdf recommended)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category:studyType Base required Laboratory Study Types 📦0.2.0-ci This IG
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.2.0-ci This IG
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.2.0-ci This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnosticReportCompositionR5 1..1 (Complex) Associated Lab Report 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..* Extension Additional content defined by implementations
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: Laboratory Report) Reference to a Composition resource for the DiagnosticReport structure
... 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(2.0.0) 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 Σ 1..1 CodeableConceptIPS(2.0.0) Type of (Laboratory) Report
Binding: Laboratory Report Types (preferred)
... subject Σ 1..1 Reference(Patient (EU core) | 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 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
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:studyType Base required Laboratory Study Types 📦0.2.0-ci This IG
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.2.0-ci This IG
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.2.0-ci This IG
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()

 

Other representations of profile: CSV, Excel, Schematron