# DiagnosticReport: Laboratory Report - HL7 Europe Laboratory Report v2.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **DiagnosticReport: Laboratory Report**

## Resource Profile: DiagnosticReport: Laboratory Report 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab | *Version*:2.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:DiagnosticReportLabEu |
| **Copyright/Legal**: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | | |

 
DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project. 

> 

#### Previous results

 This version of the guide uses the supportingInfo extension to the Observation lab results, for conveying the previous.Implementers are invited to provide their feedback about the possible adoption of the supportingInfo extension to this DiagnosticReport profile

#### Adding a PDF, images or other kind of additional data in a DiagnosticReport

In some cases it is requested to include PDF, images or other kind of additional data in a Diagnostic Report.

If the PDF to be added is the representation of the entire Laboratory report, then this will be recorded in the optional element *presentedForm* 

In case of images or other kinds of additional data (that can be a pdf document) used as support for the interpretation of the report, this is realized by using the optional element *media*. 

#### Sorting of laboratory study groups and results

The order of laboratory study groups as well the results within these groups are decided by the creator of the report.

The array order of these information is expected to be consited for laboratory reports that comply with the HL7 Europe Laboratory Report IG.

The persistence layer SHALL also keep the provided array element order as standard sorting for laboratory reports in their system.

Users MAY also sort the data interactively in their system in other ways, provided the system offers such functions.

**Usages:**

* Use this Profile: [Bundle: Laboratory Report](StructureDefinition-Bundle-eu-lab.md)
* Examples for this Profile: [DiagnosticReport/dr-lab-example](DiagnosticReport-dr-lab-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.eu.laboratory|current/StructureDefinition/DiagnosticReport-eu-lab)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-DiagnosticReport-eu-lab.csv), [Excel](StructureDefinition-DiagnosticReport-eu-lab.xlsx), [Schematron](StructureDefinition-DiagnosticReport-eu-lab.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "DiagnosticReport-eu-lab",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  }],
  "url" : "http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab",
  "version" : "2.0.0",
  "name" : "DiagnosticReportLabEu",
  "title" : "DiagnosticReport: Laboratory Report",
  "status" : "active",
  "date" : "2026-05-05T16:28:07+02:00",
  "publisher" : "HL7 Europe",
  "contact" : [{
    "name" : "HL7 Europe",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.eu"
    }]
  }],
  "description" : "DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "copyright" : "Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DiagnosticReport",
  "baseDefinition" : "http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DiagnosticReport",
      "path" : "DiagnosticReport",
      "short" : "Laboratory Report DiagnosticReport",
      "definition" : "Laboratory Report DiagnosticReport"
    },
    {
      "id" : "DiagnosticReport.extension",
      "path" : "DiagnosticReport.extension",
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.extension:DiagnosticReportCompositionR5",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "DiagnosticReportCompositionR5",
      "short" : "Associated Lab Report Composition",
      "definition" : "This extension implements the R5 composition element. It allow to link this DiagnosticReport with the Composition documenting this Laboratory Report.",
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.extension:DiagnosticReportCompositionR5.value[x]",
      "path" : "DiagnosticReport.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab"]
      }]
    },
    {
      "id" : "DiagnosticReport.identifier",
      "path" : "DiagnosticReport.identifier",
      "comment" : "Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists"
    },
    {
      "id" : "DiagnosticReport.basedOn",
      "path" : "DiagnosticReport.basedOn",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"]
      }]
    },
    {
      "id" : "DiagnosticReport.category",
      "path" : "DiagnosticReport.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "short" : "Report Category",
      "definition" : "A code that classifies this laboratory report. Two basic categories has been selected in this guide: laboratory specialty and Study type. Laboratory specialty is characteristic of the laboratory that produced the test result while Study type is an arbitrary classificion of the test type.",
      "comment" : "DiagnosticReport.category and Composition.category shall be aligned"
    },
    {
      "id" : "DiagnosticReport.category:studyType",
      "path" : "DiagnosticReport.category",
      "sliceName" : "studyType",
      "short" : "The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)",
      "definition" : "Laboratory services, i.e., results of tests performed, could be characterized using typology of services, commonly called study types. Study type could be seen as an attribute or grouping mechanism that assigns a common clinical sense to certain types of laboratory test results., e.g., Hemoglobin, Platelet count, etc. belongs to 'Hematology study'.",
      "comment" : "In comparison to the laboratory specialty which is an attribute of laboratory, study type is a categorization of laboratory service. It needs to be mentioned that classification of test to study types in not standardized.",
      "min" : 0,
      "max" : "*",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab"
      }
    },
    {
      "id" : "DiagnosticReport.category:specialty",
      "path" : "DiagnosticReport.category",
      "sliceName" : "specialty",
      "short" : "The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)",
      "definition" : "Laboratory specialty is an attribute of any laboratory setting representing professional qualification of the laboratory to execute certain kind of laboratory tests.",
      "comment" : "Specialty could be used as parameter for searching/querying of laboratory test results.",
      "min" : 0,
      "max" : "*",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab"
      }
    },
    {
      "id" : "DiagnosticReport.code",
      "path" : "DiagnosticReport.code",
      "short" : "Type of (Laboratory) Report",
      "definition" : "Specifies that it refers to a Laboratory Report",
      "comment" : "At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal",
      "binding" : {
        "strength" : "preferred",
        "valueSet" : "http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab"
      }
    },
    {
      "id" : "DiagnosticReport.subject",
      "path" : "DiagnosticReport.subject",
      "comment" : "DiagnosticReport and Composition SHALL have the same subject"
    },
    {
      "id" : "DiagnosticReport.encounter",
      "path" : "DiagnosticReport.encounter",
      "short" : "The healthcare event which this Laboratory Report is about (when test ordered).",
      "comment" : "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).\n\n  DiagnosticReport and Composition SHALL have the same encounter."
    },
    {
      "id" : "DiagnosticReport.specimen",
      "path" : "DiagnosticReport.specimen",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"]
      }]
    },
    {
      "id" : "DiagnosticReport.result",
      "path" : "DiagnosticReport.result",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"]
      }]
    },
    {
      "id" : "DiagnosticReport.imagingStudy",
      "path" : "DiagnosticReport.imagingStudy",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.media",
      "path" : "DiagnosticReport.media",
      "alias" : ["DICOM; Slides; Scans; Pictures; Documents; Diagrams",
      "Slides",
      "Scans",
      "DICOM; Slides; Scans; Pictures; Documents; Diagrams"]
    },
    {
      "id" : "DiagnosticReport.media.link.extension:link",
      "path" : "DiagnosticReport.media.link.extension",
      "sliceName" : "link",
      "short" : "DocumentReference containing additional information/attachments",
      "definition" : "Reference to a DocumentReference containing additional information/attachments associated with this report.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/alternate-reference"]
      }]
    },
    {
      "id" : "DiagnosticReport.media.link.extension:link.value[x]",
      "path" : "DiagnosticReport.media.link.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }]
    },
    {
      "id" : "DiagnosticReport.media.link.reference",
      "path" : "DiagnosticReport.media.link.reference",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.media.link.type",
      "path" : "DiagnosticReport.media.link.type",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.media.link.identifier",
      "path" : "DiagnosticReport.media.link.identifier",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.media.link.display",
      "path" : "DiagnosticReport.media.link.display",
      "short" : "Text stating use of cross-version extension 'link'",
      "definition" : "Text stating that instead of a reference to a Media resource, a DocumentReference resource is linked through the cross-version extension 'link'.",
      "min" : 1
    }]
  }
}

```
