CH LAB-Order (R4)
            
            3.0.0-ci-build - ci-build
  
            
          
CH LAB-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-lab-order/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnostic-report | Version: 3.0.0-ci-build | |||
| Active as of 2025-10-15 | Computable Name: ChLabOrderDiagnosticReport | |||
| Copyright/Legal: CC0-1.0 | ||||
Definition for the Diagnosic Report resource in the context of CH LAB-Order.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | 
|    code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | 
|  Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source | 
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. | 
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. | 
| Id | Grade | Path(s) | Description | Expression | 
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | contained.contained.empty() | 
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | 
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | 
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | contained.meta.security.empty() | 
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | text.`div`.exists() | 
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | hasValue() or (children().count() > id.count()) | 
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | extension.exists() != value.exists() | 
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
|    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. 
 | |||||
|    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 | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | Business identifier for report | ||||
|    basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
|    status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
|    category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
|    code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
|    subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Health care event 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) | Specimens this report is based on | |||||
|    result | 0..* | Reference(Observation) | Observations | |||||
|    imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
|    media | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
|     link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
|    conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
|    conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
|    presentedForm | 0..* | Attachment | Entire report as issued | |||||
|  Documentation for this format | ||||||||
| 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.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. | 
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. | 
| Id | Grade | Path(s) | Description | Expression | 
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | contained.contained.empty() | 
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | 
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | 
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | contained.meta.security.empty() | 
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | text.`div`.exists() | 
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | hasValue() or (children().count() > id.count()) | 
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | extension.exists() != value.exists() | 
This structure is derived from DiagnosticReport
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | 
|    code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | 
|  Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source | 
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. | 
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. | 
| Id | Grade | Path(s) | Description | Expression | 
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | contained.contained.empty() | 
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | 
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | 
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | contained.meta.security.empty() | 
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | text.`div`.exists() | 
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | hasValue() or (children().count() > id.count()) | 
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | extension.exists() != value.exists() | 
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
|  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
|    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. 
 | |||||
|    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 | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | Business identifier for report | ||||
|    basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
|    status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
|    category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
|    code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
|    subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Health care event 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) | Specimens this report is based on | |||||
|    result | 0..* | Reference(Observation) | Observations | |||||
|    imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
|    media | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
|     link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
|    conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
|    conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
|    presentedForm | 0..* | Attachment | Entire report as issued | |||||
|  Documentation for this format | ||||||||
| 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.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. | 
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. | 
| Id | Grade | Path(s) | Description | Expression | 
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | contained.contained.empty() | 
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | 
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | 
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | contained.meta.security.empty() | 
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | text.`div`.exists() | 
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | hasValue() or (children().count() > id.count()) | 
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | extension.exists() != value.exists() | 
This structure is derived from DiagnosticReport
Other representations of profile: CSV, Excel, Schematron