HL7 Europe Laboratory Report
2.1.0 - trial-use
150
HL7 Europe Laboratory Report
2.1.0 - trial-use
150
This page is part of the HL7 Europe Laboratory Report (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab | Version: 2.1.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: DiagnosticReportLabEu | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project.
Contents:
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
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.
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:
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..* | DiagnosticReportEuCore | Laboratory Report DiagnosticReport | |
  implicitRules |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:DiagnosticReportCompositionR5 |
1..1 | (Complex) | Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
  value[x] |
1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure | |
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |
 extension:statusReason |
0..1 | CodeableConcept | Reason for the current status URL: http://hl7.org/fhir/StructureDefinition/event-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
0..* | Identifier | Business identifier for report | |
| basedOn |
0..* | Reference(ServiceRequest: Laboratory Order) | What was requested | |
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |
 Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 category:studyType |
0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |
| subject |
1..1 | Reference(Patient (EU core) | Group | Location | Device) | The patient this report is about | |
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this | ||
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | |
| specimen |
0..* | Reference(Specimen: Laboratory) | Specimens this report is based on. | |
| result |
0..* | Reference(Observation Results: laboratory) | results | |
 media |
0..* | BackboneElement | Additional data (like images, diagrams) associated with this report | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| link |
1..1 | Reference(Media) | Reference to the image or data | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 extension:link |
1..1 | (Complex) | DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference" | |
| value[x] |
1..1 | Reference(DocumentReference) | Value of extension | |
 display |
1..1 | string | Text stating use of the alternate-reference extension 'link' | |
| Documentation for this format | ||||
| 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 | 📦2.1.0 | This IG |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦2.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦2.1.0 | This IG |
| 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 DiagnosticReportEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Laboratory Report DiagnosticReport | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:DiagnosticReportCompositionR5 |
1..1 | R5 DiagnosticReport.composition | Associated Lab Report Composition | |
| value[x] |
1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure | |
| extension:statusReason |
0..1 | CodeableConcept | Reason for the current status URL: http://hl7.org/fhir/StructureDefinition/event-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |
 identifier |
0..* | Identifier | Business identifier for report | |
| basedOn |
0..* | Reference(ServiceRequest: Laboratory Order) | What was requested | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |
| subject |
1..1 | Reference(Patient (EU core) | Group | Location | Device) | The patient this report is about | |
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |
| specimen |
0..* | Reference(Specimen: Laboratory) | Specimens this report is based on. | |
| result |
0..* | Reference(Observation Results: laboratory) | results | |
| imagingStudy |
0..0 | Study subject to this report | ||
| media |
0..* | BackboneElement | Additional data (like images, diagrams) associated with this report | |
| link |
||||
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:link |
1..1 | (Complex) | DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| value[x] |
1..1 | Reference(DocumentReference) | Value of extension | |
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
1..1 | string | Text stating use of the alternate-reference extension 'link' | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category:studyType | Base | required | Laboratory Study Types | 📦2.1.0 | This IG |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦2.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦2.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Laboratory Report DiagnosticReport | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the diagnostic report 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 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:DiagnosticReportCompositionR5 |
1..1 | (Complex) | Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||
| value[x] |
1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure | |||||
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||
 value[x] |
0..1 | Annotation | Comments about the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||
| 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/StructureDefinition/annotationType" | |||||
| value[x] |
1..1 | CodeableConcept | Type of note Binding: Hl7VSCommentType (3.0.0) (example) | |||||
 author[x] |
0..1 | Individual responsible for the annotation | ||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
0..1 | dateTime | When the annotation was made | |||||
| text |
1..1 | markdown | The annotation - text content (as markdown) | |||||
| extension:statusReason |
0..1 | CodeableConcept | Reason for the current status URL: http://hl7.org/fhir/StructureDefinition/event-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for report | |||||
| basedOn |
0..* | Reference(ServiceRequest: Laboratory Order) | What was requested | |||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |||||
| subject |
1..1 | Reference(Patient (EU core) | Group | Location | Device) | The patient this report is about | |||||
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |||||
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||
| issued |
0..1 | instant | Date and time this report was issued | |||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | |||||
| specimen |
0..* | Reference(Specimen: Laboratory) | Specimens this report is based on. | |||||
| result |
0..* | Reference(Observation Results: laboratory) | results | |||||
| media |
0..* | BackboneElement | Additional data (like images, diagrams) associated with this report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||
| link |
1..1 | Reference(Media) | Reference to the image or data | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:link |
1..1 | (Complex) | DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |||||
| 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/StructureDefinition/alternate-reference" | |||||
| value[x] |
1..1 | Reference(DocumentReference) | Value of extension | |||||
| display |
1..1 | string | Text stating use of the alternate-reference extension 'link' | |||||
| 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 (pdf recommended) | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x] | Base | example | hl7VS-commentType | 📍3.0.0 | THO v7.4 |
| 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 | 📦2.1.0 | This IG |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦2.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦2.1.0 | This IG |
| 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 DiagnosticReportEuCore
Summary
Mandatory: 2 elements(3 nested mandatory elements)
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Laboratory Report DiagnosticReport | |
| implicitRules |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:DiagnosticReportCompositionR5 |
1..1 | (Complex) | Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure | |
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |
| extension:statusReason |
0..1 | CodeableConcept | Reason for the current status URL: http://hl7.org/fhir/StructureDefinition/event-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | Business identifier for report | |
| basedOn |
0..* | Reference(ServiceRequest: Laboratory Order) | What was requested | |
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |
| subject |
1..1 | Reference(Patient (EU core) | Group | Location | Device) | The patient this report is about | |
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this | ||
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | |
| specimen |
0..* | Reference(Specimen: Laboratory) | Specimens this report is based on. | |
| result |
0..* | Reference(Observation Results: laboratory) | results | |
| media |
0..* | BackboneElement | Additional data (like images, diagrams) associated with this report | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| link |
1..1 | Reference(Media) | Reference to the image or data | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:link |
1..1 | (Complex) | DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference" | |
| value[x] |
1..1 | Reference(DocumentReference) | Value of extension | |
| display |
1..1 | string | Text stating use of the alternate-reference extension 'link' | |
| Documentation for this format | ||||
| 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 | 📦2.1.0 | This IG |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦2.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦2.1.0 | This IG |
| 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 DiagnosticReportEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Laboratory Report DiagnosticReport | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:DiagnosticReportCompositionR5 |
1..1 | R5 DiagnosticReport.composition | Associated Lab Report Composition | |
| value[x] |
1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure | |
| extension:statusReason |
0..1 | CodeableConcept | Reason for the current status URL: http://hl7.org/fhir/StructureDefinition/event-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |
| identifier |
0..* | Identifier | Business identifier for report | |
| basedOn |
0..* | Reference(ServiceRequest: Laboratory Order) | What was requested | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:studyType |
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 |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |
| subject |
1..1 | Reference(Patient (EU core) | Group | Location | Device) | The patient this report is about | |
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |
| specimen |
0..* | Reference(Specimen: Laboratory) | Specimens this report is based on. | |
| result |
0..* | Reference(Observation Results: laboratory) | results | |
| imagingStudy |
0..0 | Study subject to this report | ||
| media |
0..* | BackboneElement | Additional data (like images, diagrams) associated with this report | |
| link |
||||
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:link |
1..1 | (Complex) | DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| value[x] |
1..1 | Reference(DocumentReference) | Value of extension | |
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
1..1 | string | Text stating use of the alternate-reference extension 'link' | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category:studyType | Base | required | Laboratory Study Types | 📦2.1.0 | This IG |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦2.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦2.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Laboratory Report DiagnosticReport | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the diagnostic report 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 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:DiagnosticReportCompositionR5 |
1..1 | (Complex) | Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||
| value[x] |
1..1 | Reference(Composition: Laboratory Report) | Reference to a Composition resource for the DiagnosticReport structure | |||||
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||
| value[x] |
0..1 | Annotation | Comments about the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||
| 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/StructureDefinition/annotationType" | |||||
| value[x] |
1..1 | CodeableConcept | Type of note Binding: Hl7VSCommentType (3.0.0) (example) | |||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
0..1 | dateTime | When the annotation was made | |||||
| text |
1..1 | markdown | The annotation - text content (as markdown) | |||||
| extension:statusReason |
0..1 | CodeableConcept | Reason for the current status URL: http://hl7.org/fhir/StructureDefinition/event-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for report | |||||
| basedOn |
0..* | Reference(ServiceRequest: Laboratory Order) | What was requested | |||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||
| Slices for category |
0..* | CodeableConcept | Report Category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:studyType |
0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||
| code |
1..1 | CodeableConcept | Type of (Laboratory) Report Binding: Laboratory Report Types (preferred) | |||||
| subject |
1..1 | Reference(Patient (EU core) | Group | Location | Device) | The patient this report is about | |||||
| encounter |
0..1 | Reference(Encounter) | The healthcare event which this Laboratory Report is about (when test ordered). | |||||
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||
| issued |
0..1 | instant | Date and time this report was issued | |||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | |||||
| specimen |
0..* | Reference(Specimen: Laboratory) | Specimens this report is based on. | |||||
| result |
0..* | Reference(Observation Results: laboratory) | results | |||||
| media |
0..* | BackboneElement | Additional data (like images, diagrams) associated with this report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||
| link |
1..1 | Reference(Media) | Reference to the image or data | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:link |
1..1 | (Complex) | DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |||||
| 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/StructureDefinition/alternate-reference" | |||||
| value[x] |
1..1 | Reference(DocumentReference) | Value of extension | |||||
| display |
1..1 | string | Text stating use of the alternate-reference extension 'link' | |||||
| 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 (pdf recommended) | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x] | Base | example | hl7VS-commentType | 📍3.0.0 | THO v7.4 |
| 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 | 📦2.1.0 | This IG |
| DiagnosticReport.category:specialty | Base | required | Laboratory Specialty | 📦2.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | Laboratory Report Types | 📦2.1.0 | This IG |
| 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 DiagnosticReportEuCore
Summary
Mandatory: 2 elements(3 nested mandatory elements)
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 Europe. Package hl7.fhir.eu.laboratory#2.1.0 based on FHIR 4.0.1. Generated 2026-10-16
