## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips vs http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core

Left: | DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
Right: | DiagnosticReport (EU core) (http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips' vs 'http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core'
Information | StructureDefinition.name | Values for name differ: 'DiagnosticReportUvIps' vs 'DiagnosticReportEuCore'
Information | StructureDefinition.title | Values for title differ: 'DiagnosticReport (IPS)' vs 'DiagnosticReport (EU core)'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-08-07T12:40:16+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Information | StructureDefinition.short | Values for short differ: 'A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports' vs 'Diagnostic Report EU core'
Information | StructureDefinition.definition | Values for definition differ: 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.' vs 'Diagnostic Report EU core'
Information | StructureDefinition.short | Values for short differ: 'Language of the resource content' vs 'Language of the diagnostic report content'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.comment | Values for comment differ: 'Usually assigned by the Information System of the diagnostic service provider (filler id).' vs 'Usually assigned by the Information System of the diagnostic service provider for facilitating the Report search. The order id can be used as one of the Report identifier if only one report is produced for that order.'
Information | StructureDefinition.short | Values for short differ: 'registered | partial | preliminary | final +' vs 'Status of the Report'
Information | StructureDefinition.short | Values for short differ: 'Name/Code for this diagnostic report' vs 'Type of Diagnostic Report'
Information | StructureDefinition.definition | Values for definition differ: 'A code or name that describes this diagnostic report.' vs 'Defines the document type, it is recommended to take this from the suggested LOINC set.'
Warning | DiagnosticReport.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'The subject of the report - usually, but not always, the patient' vs 'Who and/or what this report is about'
Information | StructureDefinition.definition | Values for definition differ: 'The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.' vs 'Who or what this report is about. The report can be about a human patient, a living subject, a device (e.g. a machine), a location or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).'
Warning | DiagnosticReport.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Health care event when test ordered' vs 'The healthcare event which this Diagnostic Report is about (when test ordered).'
Information | StructureDefinition.definition | Values for definition differ: 'The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.' vs 'The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.'
Information | StructureDefinition.comment | Values for comment differ: 'This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).' vs 'This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).'
Information | StructureDefinition.short | Values for short differ: 'Clinically relevant time/time-period for report' vs 'Clinically relevant time/time-period for report.'
Warning | DiagnosticReport.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | DiagnosticReport.effective[x] | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'DateTime this version was made' vs 'Date and time this report was issued'
Information | StructureDefinition.short | Values for short differ: 'Responsible Diagnostic Service' vs 'Responsible Diagnostic Service.'
Information | StructureDefinition.comment | Values for comment differ: 'This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.' vs 'If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.'
Warning | DiagnosticReport.performer | Elements differ in definition for mustSupport: 'true' vs 'false'
Error | DiagnosticReport.performer | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]])
Information | StructureDefinition.comment | Values for comment differ: 'Might not be the same entity that takes responsibility for the clinical report.' vs 'If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.'
Error | DiagnosticReport.resultsInterpreter | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]])
Information | StructureDefinition.short | Values for short differ: 'Specimens this report is based on' vs 'Specimens this report is based on.'
Information | StructureDefinition.short | Values for short differ: 'Observation results included in the diagnostic report.' vs 'results'
Information | StructureDefinition.definition | Values for definition differ: 'Observation results included in the diagnostic report.' vs '[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.'
Information | StructureDefinition.short | Values for short differ: 'Reference to full details of imaging associated with the diagnostic report' vs 'Study subject to this report'
Information | StructureDefinition.short | Values for short differ: 'Key images associated with this report' vs 'Additional data (like images, diagrams or documents) associated with this report'
Information | StructureDefinition.definition | Values for definition differ: 'A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).' vs 'A list of additional data, other then presented form of the report, associated with this report. This data is generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).'
Information | StructureDefinition.requirements | Values for requirements differ: 'Many diagnostic services include images in the report as part of their service.' vs 'Some diagnostic reports may include additional data such as images, diagrams or documents that are relevant to the report. This additional information can provide further context and support for the findings presented in the report.'
Information | StructureDefinition.short | Values for short differ: 'Comment about the image (e.g. explanation)' vs 'Comment about the image or data (e.g. explanation)'
Information | StructureDefinition.definition | Values for definition differ: 'A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.' vs 'Allows for a comment about the image or data, such as an explanation of its significance or context within the diagnostic report.'
Information | StructureDefinition.requirements | Values for requirements differ: 'The provider of the report should make a comment about each image included in the report.' vs 'The provider of the report should make a comment about each image or data included in the report. This comment can provide valuable context and help the reader understand the significance of the image or data in relation to the overall findings of the report.'
Information | StructureDefinition.short | Values for short differ: 'Reference to the image source' vs 'Reference to the image or data'
Information | StructureDefinition.definition | Values for definition differ: 'Reference to the image source.' vs 'A reference to the image or data associated with this report.'
Information | StructureDefinition.short | Values for short differ: 'Entire report as issued' vs 'Entire report as issued (pdf recommended)'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/DiagnosticReport |
copyright |  | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date | 2024-06-19T10:50:07-05:00 | 2026-08-07T12:40:16+00:00 | Values Differ
description | This profile constrains the DiagnosticReport resource to represent diagnostic test and procedure reports in a patient summary. | This profile introduces essential constraints and extensions for the DiagnosticReport resource that apply across multiple use cases. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | http://unstats.un.org/unsd/methods/m49/m49.htm#150 | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind | resource |
name | DiagnosticReportUvIps | DiagnosticReportEuCore | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | Values Differ
purpose | This profile constrains the DiagnosticReport resource to use the specific IPS profiles for observations and coded data types. |  | Removed the item 'This profile constrains the DiagnosticReport resource to use the specific IPS profiles for observations and coded data types.'
status | active |
title | DiagnosticReport (IPS) | DiagnosticReport (EU core) | Values Differ
type | DiagnosticReport |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips | http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core | Values Differ
version | 2.0.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports |  | 0..* | DiagnosticReport | Diagnostic Report EU core |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the diagnostic report content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | 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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business identifier for report | Σ | 0..* | Identifier | Business identifier for report |
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested |
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | ?!Σ | 1..1 | code | Status of the Report Binding: ?? (required): The status of the diagnostic report. |
category | Σ | 0..* | CodeableConcept | Service category Binding: ?? (example): Codes for diagnostic service sections. | Σ | 0..* | CodeableConcept | Service category Binding: ?? (example): Codes for diagnostic service sections. |
code | SO Σ | 1..1 | ?? | Name/Code for this diagnostic report Binding: ?? (preferred): Codes that describe Diagnostic Reports.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 1..1 | CodeableConcept | Type of Diagnostic Report Binding: ?? (preferred): Codes that describe Diagnostic Reports. | Elements differ in definition for mustSupport: 'true' vs 'false'
subject | SO Σ | 1..1 | Reference(Patient (IPS) | Group) | The subject of the report - usually, but not always, the patient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 1..1 | Reference(Patient | Group | Location | Device) | Who and/or what this report is about | Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
|  |  |  |  | Removed this element
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |  |  |  |  | Removed this element
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |  |  |  |  | Removed this element
display | Σ | 0..1 | string | Text alternative for the resource |  |  |  |  | Removed this element
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered). |
Slices for effective[x] | SO Σ | 1..1 | dateTime, Period | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 0..1 | dateTime, Period | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
issued | Σ | 0..1 | instant | DateTime this version was made | Σ | 0..1 | instant | Date and time this report was issued |
performer | SO Σ | 0..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam) | Responsible Diagnostic Service
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this | Elements differ in definition for mustSupport: 'true' vs 'false' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]])
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]])
specimen |  | 0..* | Reference(Specimen (IPS)) | Specimens this report is based on |  | 0..* | Reference(Specimen) | Specimens this report is based on. |
Slices for result |  | 0..* | Reference(Observation) | Observation results included in the diagnostic report. Slice: Unordered, Open by profile:resolve() |  | 0..* | Reference(Observation) | results |
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report |  | 0..* | Reference(ImagingStudy) | Study subject to this report |
media | Σ | 0..* | BackboneElement | Key images associated with this report | Σ | 0..* | BackboneElement | Additional data (like images, diagrams or documents) associated with this report |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
comment |  | 0..1 | string | Comment about the image (e.g. explanation) |  | 0..1 | string | Comment about the image or data (e.g. explanation) |
link | Σ | 1..1 | Reference(Media) | Reference to the image source | Σ | 1..1 | Reference(Media) | Reference to the image or data |
conclusion |  | 0..1 | string | Clinical conclusion (interpretation) of test results |  | 0..1 | string | Clinical conclusion (interpretation) of test results |
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. |
presentedForm |  | 0..* | Attachment | Entire report as issued |  | 0..* | Attachment | Entire report as issued (pdf recommended) |
Documentation for this format