MyHealth@EU Core
1.0.0 - trial-use 150

MyHealth@EU Core - Downloaded Version 1.0.0 See the Directory of published versions

Resource Profile: DiagnosticReport (Core)

Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/diagnosticReport-myhealtheu-core Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: DiagnosticReportMyHealthCore

This profile sets minimum expectations for the DiagnosticReport resource for commonly used EHDS documents.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
... 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)
... Slices for extension Content/Rules for all slices
.... 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 (Core)) 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"
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: eHDSI Diagnostic Report Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report.
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Effective period of the report
... 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 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required eHDSI Diagnostic Report Code With Exceptions 📦1.0.0 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 DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.modifierExtension, DiagnosticReport.media.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReportEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
... language 0..1 code Language of the diagnostic report content
Binding: eHDSI Language (required)
... 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 (Core)) Reference to a Composition resource for the DiagnosticReport structure
... basedOn 0..* Reference(ServiceRequest) What was requested
... code 1..1 CodeableConcept Type of Diagnostic Report
Binding: eHDSI Diagnostic Report Code With Exceptions (required)
... subject 1..1 Reference(Patient (Core) | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for performer Content/Rules for all slices
.... performer:organization 0..* Reference(Organization (Core)) The organization producer of this report
... Slices for resultsInterpreter Content/Rules for all slices
.... resultsInterpreter:author 0..* Reference(PractitionerRole (Core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... media 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
DiagnosticReport.code Base required eHDSI Diagnostic Report Code With Exceptions 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
... 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
... 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 0..* 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 (Core)) 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 Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: eHDSI Diagnostic Report Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report.
Slice: Unordered, Open by type:$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 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... imagingStudy 0..* Reference(ImagingStudy) Study subject to this report
... 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
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.code Base required eHDSI Diagnostic Report Code With Exceptions 📦1.0.0 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
... 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)
... Slices for extension Content/Rules for all slices
.... 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 (Core)) 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"
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: eHDSI Diagnostic Report Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report.
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Effective period of the report
... 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 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required eHDSI Diagnostic Report Code With Exceptions 📦1.0.0 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 DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.modifierExtension, DiagnosticReport.media.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReportEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
... language 0..1 code Language of the diagnostic report content
Binding: eHDSI Language (required)
... 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 (Core)) Reference to a Composition resource for the DiagnosticReport structure
... basedOn 0..* Reference(ServiceRequest) What was requested
... code 1..1 CodeableConcept Type of Diagnostic Report
Binding: eHDSI Diagnostic Report Code With Exceptions (required)
... subject 1..1 Reference(Patient (Core) | Group | Location | Device) Who and/or what this report is about
... encounter 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for performer Content/Rules for all slices
.... performer:organization 0..* Reference(Organization (Core)) The organization producer of this report
... Slices for resultsInterpreter Content/Rules for all slices
.... resultsInterpreter:author 0..* Reference(PractitionerRole (Core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... media 0..* BackboneElement Additional data (like images, diagrams or documents) associated with this report

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
DiagnosticReport.code Base required eHDSI Diagnostic Report Code With Exceptions 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
... 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
... 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 0..* 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 (Core)) 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 Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ServiceRequest) What was requested
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Type of Diagnostic Report
Binding: eHDSI Diagnostic Report Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core) | Group | Location | Device) Who and/or what this report is about
... encounter Σ 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report.
Slice: Unordered, Open by type:$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 0..* Reference(Specimen) Specimens this report is based on.
... result 0..* Reference(Observation) results
... imagingStudy 0..* Reference(ImagingStudy) Study subject to this report
... 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
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.code Base required eHDSI Diagnostic Report Code With Exceptions 📦1.0.0 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()

 

Other representations of profile: CSV, Excel, Schematron