HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use Italy flag

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

Resource Profile: DiagnosticReport - Lab Report

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/diagnosticreport-it-lab Version: 0.2.0
Standards status: Trial-use Maturity Level: 1 Computable Name: DiagnosticReportRefertoLabIt

Descrizione delle informazioni cliniche tramite il profilo della risorsa DiagnosticReport per il referto di laboratorio.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportLabEu DiagnosticReport Referto di Laboratorio
... 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) Estensione di FHIR R5 per legare la DiagnosticReport a Composition.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition - Lab Report) Reference a Composition.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ServiceRequest - Lab Report) Reference a una o più prestazioni richieste associate al referto.
... status ?!Σ 1..1 code Stato del Referto
Binding: DiagnosticReportStatus (required)
... 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 Referto di Laboratorio
Binding: Laboratory Report Types (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory report
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... coding S 0..* CodingIPS Codice definito da un sistema terminologico.
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient - Lab Report) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter - Lab Report) Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... performer Σ 0..* Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) Persona o Organizzazione che partecipa all'evento clinico descritto.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Chi e/o cosa è l'autore del referto di laboratorio.
... specimen 0..* Reference(Specimen - Lab Report) Reference ai campioni su cui si basa la DiagnosticReport.
... result 0..* Reference(Observation - Lab Report) Osservazioni cliniche.
... media Σ 0..* BackboneElement Contenuto multimediale associate al DiagnosticReport.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Commento sull'immagine.
.... link Σ 1..1 Reference(Media - Lab Report) Riferimento al contenuto multimediale.
... presentedForm 0..* Attachment Rappresentazione testuale del Referto di Laboratorio così come emesso.

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 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.0 HL7 Europe Laboratory Report v0.1

Constraints

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

This structure is derived from DiagnosticReportLabEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportLabEu DiagnosticReport Referto di Laboratorio
... Slices for extension Content/Rules for all slices
.... extension:DiagnosticReportCompositionR5 1..1 R5 DiagnosticReport.composition Estensione di FHIR R5 per legare la DiagnosticReport a Composition.
..... value[x] 1..1 Reference(Composition - Lab Report) Reference a Composition.
... identifier 1..1 Identifier Identificativo indipendente dalla versione.
... basedOn 0..* Reference(ServiceRequest - Lab Report) Reference a una o più prestazioni richieste associate al referto.
... category 0..* CodeableConceptIPS Report Category
... code 1..1 CodeableConceptIPS Referto di Laboratorio
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory report
.... coding 0..* CodingIPS Codice definito da un sistema terminologico.
... subject 1..1 Reference(Patient - Lab Report) Who and/or what this report is about
... encounter 0..1 Reference(Encounter - Lab Report) Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... performer 0..* Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) Persona o Organizzazione che partecipa all'evento clinico descritto.
... resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Chi e/o cosa è l'autore del referto di laboratorio.
... specimen 0..* Reference(Specimen - Lab Report) Reference ai campioni su cui si basa la DiagnosticReport.
... result 0..* Reference(Observation - Lab Report) Osservazioni cliniche.
... media 0..* BackboneElement Contenuto multimediale associate al DiagnosticReport.
.... comment 0..1 string Commento sull'immagine.
.... link 1..1 Reference(Media - Lab Report) Riferimento al contenuto multimediale.
... presentedForm 0..* Attachment Rappresentazione testuale del Referto di Laboratorio così come emesso.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportLabEu DiagnosticReport Referto di Laboratorio
... 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) Estensione di FHIR R5 per legare la DiagnosticReport a 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 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition - Lab Report) Reference a Composition.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Identificativo indipendente dalla versione.
... basedOn 0..* Reference(ServiceRequest - Lab Report) Reference a una o più prestazioni richieste associate al referto.
... status ?!Σ 1..1 code Stato del Referto
Binding: DiagnosticReportStatus (required)
... 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 Referto di Laboratorio
Binding: Laboratory Report Types (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory report
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding S 0..* CodingIPS Codice definito da un sistema terminologico.
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient - Lab Report) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter - Lab Report) Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... 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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) Persona o Organizzazione che partecipa all'evento clinico descritto.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Chi e/o cosa è l'autore del referto di laboratorio.
... specimen 0..* Reference(Specimen - Lab Report) Reference ai campioni su cui si basa la DiagnosticReport.
... result 0..* Reference(Observation - Lab Report) Osservazioni cliniche.
... media Σ 0..* BackboneElement Contenuto multimediale associate al DiagnosticReport.
.... 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 Commento sull'immagine.
.... link Σ 1..1 Reference(Media - Lab Report) Riferimento al contenuto multimediale.
... 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 Rappresentazione testuale del Referto di Laboratorio così come emesso.

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 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.0 HL7 Europe Laboratory Report v0.1
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..* DiagnosticReportLabEu DiagnosticReport Referto di Laboratorio
... 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) Estensione di FHIR R5 per legare la DiagnosticReport a Composition.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition - Lab Report) Reference a Composition.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ServiceRequest - Lab Report) Reference a una o più prestazioni richieste associate al referto.
... status ?!Σ 1..1 code Stato del Referto
Binding: DiagnosticReportStatus (required)
... 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 Referto di Laboratorio
Binding: Laboratory Report Types (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory report
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... coding S 0..* CodingIPS Codice definito da un sistema terminologico.
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient - Lab Report) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter - Lab Report) Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... performer Σ 0..* Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) Persona o Organizzazione che partecipa all'evento clinico descritto.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Chi e/o cosa è l'autore del referto di laboratorio.
... specimen 0..* Reference(Specimen - Lab Report) Reference ai campioni su cui si basa la DiagnosticReport.
... result 0..* Reference(Observation - Lab Report) Osservazioni cliniche.
... media Σ 0..* BackboneElement Contenuto multimediale associate al DiagnosticReport.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Commento sull'immagine.
.... link Σ 1..1 Reference(Media - Lab Report) Riferimento al contenuto multimediale.
... presentedForm 0..* Attachment Rappresentazione testuale del Referto di Laboratorio così come emesso.

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 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.0 HL7 Europe Laboratory Report v0.1

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

This structure is derived from DiagnosticReportLabEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportLabEu DiagnosticReport Referto di Laboratorio
... Slices for extension Content/Rules for all slices
.... extension:DiagnosticReportCompositionR5 1..1 R5 DiagnosticReport.composition Estensione di FHIR R5 per legare la DiagnosticReport a Composition.
..... value[x] 1..1 Reference(Composition - Lab Report) Reference a Composition.
... identifier 1..1 Identifier Identificativo indipendente dalla versione.
... basedOn 0..* Reference(ServiceRequest - Lab Report) Reference a una o più prestazioni richieste associate al referto.
... category 0..* CodeableConceptIPS Report Category
... code 1..1 CodeableConceptIPS Referto di Laboratorio
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory report
.... coding 0..* CodingIPS Codice definito da un sistema terminologico.
... subject 1..1 Reference(Patient - Lab Report) Who and/or what this report is about
... encounter 0..1 Reference(Encounter - Lab Report) Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... performer 0..* Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) Persona o Organizzazione che partecipa all'evento clinico descritto.
... resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Chi e/o cosa è l'autore del referto di laboratorio.
... specimen 0..* Reference(Specimen - Lab Report) Reference ai campioni su cui si basa la DiagnosticReport.
... result 0..* Reference(Observation - Lab Report) Osservazioni cliniche.
... media 0..* BackboneElement Contenuto multimediale associate al DiagnosticReport.
.... comment 0..1 string Commento sull'immagine.
.... link 1..1 Reference(Media - Lab Report) Riferimento al contenuto multimediale.
... presentedForm 0..* Attachment Rappresentazione testuale del Referto di Laboratorio così come emesso.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportLabEu DiagnosticReport Referto di Laboratorio
... 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) Estensione di FHIR R5 per legare la DiagnosticReport a 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 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
..... value[x] 1..1 Reference(Composition - Lab Report) Reference a Composition.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Identificativo indipendente dalla versione.
... basedOn 0..* Reference(ServiceRequest - Lab Report) Reference a una o più prestazioni richieste associate al referto.
... status ?!Σ 1..1 code Stato del Referto
Binding: DiagnosticReportStatus (required)
... 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 Referto di Laboratorio
Binding: Laboratory Report Types (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
..... display 1..1 string Representation defined by the system
Fixed Value: Laboratory report
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding S 0..* CodingIPS Codice definito da un sistema terminologico.
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient - Lab Report) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter - Lab Report) Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione).
... 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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) Persona o Organizzazione che partecipa all'evento clinico descritto.
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Chi e/o cosa è l'autore del referto di laboratorio.
... specimen 0..* Reference(Specimen - Lab Report) Reference ai campioni su cui si basa la DiagnosticReport.
... result 0..* Reference(Observation - Lab Report) Osservazioni cliniche.
... media Σ 0..* BackboneElement Contenuto multimediale associate al DiagnosticReport.
.... 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 Commento sull'immagine.
.... link Σ 1..1 Reference(Media - Lab Report) Riferimento al contenuto multimediale.
... 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 Rappresentazione testuale del Referto di Laboratorio così come emesso.

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 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.category:specialty Base required Laboratory Specialty 📦0.1.0 HL7 Europe Laboratory Report v0.1
DiagnosticReport.code Base preferred Laboratory Report Types 📦0.1.0 HL7 Europe Laboratory Report v0.1
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()

 

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