HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use

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:

- Use this Profile: Bundle - Lab Report
- Examples for this Profile: DiagnosticReport/56f19992-e73e-45b5-bbdd-6d9aeb60b15a

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | 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
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
coding | S | 0..* | CodingIPS | Codice definito da un sistema terminologico.
text | S Σ | 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.
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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.
status |  | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required)
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.
Documentation for this format

#### Terminology Bindings (Differential)

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 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 | S Σ | 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.
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()`

This structure is derived from DiagnosticReportLabEu

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Composition - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/composition-it-lab)
- ServiceRequest - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/servicerequest-it-lab)
- Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
- Encounter - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/encounter-it-lab)
- Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
- PractitionerRole - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-it-lab)
- Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)
- Specimen - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/specimen-it-lab)
- Observation - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab)
- Media - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/media-it-lab)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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
coding | S | 0..* | CodingIPS | Codice definito da un sistema terminologico.
text | S Σ | 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.
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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.
status |  | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required)
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.
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 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 | S Σ | 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.
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()`

This structure is derived from DiagnosticReportLabEu

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Composition - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/composition-it-lab)
- ServiceRequest - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/servicerequest-it-lab)
- Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
- Encounter - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/encounter-it-lab)
- Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
- PractitionerRole - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-it-lab)
- Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)
- Specimen - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/specimen-it-lab)
- Observation - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab)
- Media - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/media-it-lab)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron