MyHealth@Eu Laboratory Report - Local Development build (v9.1.1-ci-build) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: DiagnosticReport: Laboratory

This profile defines how to constrain the DiagnosticReport resource to represent a Laboratory Report for the purpose of this guide.

Usages:

• Use this Profile: Bundle: Laboratory
• Examples for this Profile: DiagnosticReport/SampleDiagnosticReport

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportMyHealthCore	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		0..1	(Complex)	R5: Reference to a Composition resource for the DiagnosticReport structure (new) 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)	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"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Business identifier for report Obligations Actor SHALL:handle MyHealth@EU Handler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor SHALL:handle MyHealth@EU Handler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for category	Σ	0..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Specialty (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor SHALL:handle MyHealth@EU Handler
subject	OΣ	1..1	Reference(Patient (Core) | Group | Location | Device)	Who and/or what this report is about Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Effective period of the report
Slices for performer	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization	Σ	0..*	Reference(Organization (Core))	The organization producer of this report
Slices for resultsInterpreter	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole (Core))	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor SHALL:handle MyHealth@EU Handler
result	O	0..*	Reference(ObservationResults: Laboratory)	results Obligations Actor SHALL:handle MyHealth@EU Handler
media	Σ	0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image or data
Slices for extension				Content/Rules for all slices
extension:link		0..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	Σ	1..1	string	Text stating use of cross-version extension 'link'
presentedForm	O	0..*	Attachment	Entire report as issued (pdf recommended) Obligations Actor SHOULD:handle MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.code	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReportMyHealthCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportMyHealthCore	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:DiagnosticReportCompositionR5		0..1	R5 DiagnosticReport.composition	R5: Reference to a Composition resource for the DiagnosticReport structure (new)
value[x]		1..1	Reference(Composition: Laboratory)	Reference to a Composition resource for the DiagnosticReport structure
identifier	O	0..*	Identifier	Business identifier for report Obligations Actor SHALL:handle MyHealth@EU Handler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor SHALL:handle MyHealth@EU Handler
status	O	1..1	code	Status of the Report Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for category				Content/Rules for all slices
category:studyType		0..*	CodeableConcept	Service category Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConcept	Service category Binding: Laboratory Specialty (required)
code	O	1..1	CodeableConcept	Type of Diagnostic Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	Reference(Patient (Core) | Group | Location | Device)	Who and/or what this report is about Obligations Actor SHALL:handle MyHealth@EU Handler
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor SHALL:handle MyHealth@EU Handler
result	O	0..*	Reference(ObservationResults: Laboratory)	results Obligations Actor SHALL:handle MyHealth@EU Handler
imagingStudy		0..0		Study subject to this report
media		0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
link
Slices for extension				Content/Rules for all slices
extension:link		0..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 cross-version extension 'link'
presentedForm	O	0..*	Attachment	Entire report as issued (pdf recommended) Obligations Actor SHOULD:handle MyHealth@EU Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.code	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportMyHealthCore	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
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 diagnostic report content Binding: eHDSI Language (required)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		0..1	(Complex)	R5: Reference to a Composition resource for the DiagnosticReport structure (new) 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)	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
extension:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
id		0..1	id	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]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Business identifier for report Obligations Actor SHALL:handle MyHealth@EU Handler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor SHALL:handle MyHealth@EU Handler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for category	Σ	0..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Specialty (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor SHALL:handle MyHealth@EU Handler
subject	OΣ	1..1	Reference(Patient (Core) | Group | Location | Device)	Who and/or what this report is about Obligations Actor SHALL:handle MyHealth@EU Handler
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Diagnostic Report is about (when test ordered).
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Effective period of the report
issued	Σ	0..1	instant	Date and time this report was issued
Slices for performer	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization	Σ	0..*	Reference(Organization (Core))	The organization producer of this report
Slices for resultsInterpreter	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole (Core))	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor SHALL:handle MyHealth@EU Handler
result	O	0..*	Reference(ObservationResults: Laboratory)	results Obligations Actor SHALL:handle MyHealth@EU Handler
media	Σ	0..*	BackboneElement	Additional data (like images, diagrams or documents) 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 or data (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image or data
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
extension:link		0..1	(Complex)	DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id		0..1	id	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	Σ	1..1	string	Text stating use of cross-version 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	O	0..*	Attachment	Entire report as issued (pdf recommended) Obligations Actor SHOULD:handle MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	required	eHDSI Language	📦9.1.0	This IG
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📍3.0.0	THO v7.1
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	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.code	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReportMyHealthCore

Summary

Mandatory: 1 element(1 nested mandatory element)
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• Composition: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Composition-lab-myhealtheu)
• ServiceRequest: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu)
• Specimen: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Specimen-lab-myhealtheu)
• ObservationResults: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/alternate-reference

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportMyHealthCore	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		0..1	(Complex)	R5: Reference to a Composition resource for the DiagnosticReport structure (new) 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)	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"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Business identifier for report Obligations Actor SHALL:handle MyHealth@EU Handler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor SHALL:handle MyHealth@EU Handler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for category	Σ	0..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Specialty (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor SHALL:handle MyHealth@EU Handler
subject	OΣ	1..1	Reference(Patient (Core) | Group | Location | Device)	Who and/or what this report is about Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Effective period of the report
Slices for performer	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization	Σ	0..*	Reference(Organization (Core))	The organization producer of this report
Slices for resultsInterpreter	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole (Core))	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor SHALL:handle MyHealth@EU Handler
result	O	0..*	Reference(ObservationResults: Laboratory)	results Obligations Actor SHALL:handle MyHealth@EU Handler
media	Σ	0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image or data
Slices for extension				Content/Rules for all slices
extension:link		0..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	Σ	1..1	string	Text stating use of cross-version extension 'link'
presentedForm	O	0..*	Attachment	Entire report as issued (pdf recommended) Obligations Actor SHOULD:handle MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.code	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReportMyHealthCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportMyHealthCore	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:DiagnosticReportCompositionR5		0..1	R5 DiagnosticReport.composition	R5: Reference to a Composition resource for the DiagnosticReport structure (new)
value[x]		1..1	Reference(Composition: Laboratory)	Reference to a Composition resource for the DiagnosticReport structure
identifier	O	0..*	Identifier	Business identifier for report Obligations Actor SHALL:handle MyHealth@EU Handler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor SHALL:handle MyHealth@EU Handler
status	O	1..1	code	Status of the Report Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for category				Content/Rules for all slices
category:studyType		0..*	CodeableConcept	Service category Binding: Laboratory Study Types (required)
category:specialty		0..*	CodeableConcept	Service category Binding: Laboratory Specialty (required)
code	O	1..1	CodeableConcept	Type of Diagnostic Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor SHALL:handle MyHealth@EU Handler
subject	O	1..1	Reference(Patient (Core) | Group | Location | Device)	Who and/or what this report is about Obligations Actor SHALL:handle MyHealth@EU Handler
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor SHALL:handle MyHealth@EU Handler
result	O	0..*	Reference(ObservationResults: Laboratory)	results Obligations Actor SHALL:handle MyHealth@EU Handler
imagingStudy		0..0		Study subject to this report
media		0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
link
Slices for extension				Content/Rules for all slices
extension:link		0..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 cross-version extension 'link'
presentedForm	O	0..*	Attachment	Entire report as issued (pdf recommended) Obligations Actor SHOULD:handle MyHealth@EU Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.code	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportMyHealthCore	Laboratory Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Laboratory Report
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 diagnostic report content Binding: eHDSI Language (required)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		0..1	(Complex)	R5: Reference to a Composition resource for the DiagnosticReport structure (new) 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)	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
extension:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
id		0..1	id	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]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Business identifier for report Obligations Actor SHALL:handle MyHealth@EU Handler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor SHALL:handle MyHealth@EU Handler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle MyHealth@EU Handler
Slices for category	Σ	0..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Study Types (required)
category:specialty	Σ	0..*	CodeableConcept	Service category Binding: Laboratory Specialty (required)
code	OΣ	1..1	CodeableConcept	Type of Diagnostic Report Binding: eHDSI Laboratory Report Type (required) Obligations Actor SHALL:handle MyHealth@EU Handler
subject	OΣ	1..1	Reference(Patient (Core) | Group | Location | Device)	Who and/or what this report is about Obligations Actor SHALL:handle MyHealth@EU Handler
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Diagnostic Report is about (when test ordered).
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Effective period of the report
issued	Σ	0..1	instant	Date and time this report was issued
Slices for performer	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization	Σ	0..*	Reference(Organization (Core))	The organization producer of this report
Slices for resultsInterpreter	Σ	0..*	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole (Core))	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor SHALL:handle MyHealth@EU Handler
result	O	0..*	Reference(ObservationResults: Laboratory)	results Obligations Actor SHALL:handle MyHealth@EU Handler
media	Σ	0..*	BackboneElement	Additional data (like images, diagrams or documents) 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 or data (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image or data
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
extension:link		0..1	(Complex)	DocumentReference containing additional information/attachments URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id		0..1	id	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	Σ	1..1	string	Text stating use of cross-version 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	O	0..*	Attachment	Entire report as issued (pdf recommended) Obligations Actor SHOULD:handle MyHealth@EU Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	required	eHDSI Language	📦9.1.0	This IG
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📍3.0.0	THO v7.1
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	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
DiagnosticReport.code	Base	required	eHDSI Laboratory Report Type	📦9.1.0	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReportMyHealthCore

Summary

Mandatory: 1 element(1 nested mandatory element)
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• Composition: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Composition-lab-myhealtheu)
• ServiceRequest: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu)
• Specimen: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Specimen-lab-myhealtheu)
• ObservationResults: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/alternate-reference

Maturity: 1

Other representations of profile: CSV, Excel, Schematron