MyHealth@Eu Patient Summary
1.0.0-poc - qa-preview
150
MyHealth@Eu Patient Summary
1.0.0-poc - qa-preview
150
MyHealth@Eu Patient Summary - Downloaded Version 1.0.0-poc See the Directory of published versions
| Official URL: http://fhir.ehdsi.eu/eps/StructureDefinition/diagnosticReport-myhealtheu-eps | Version: 1.0.0-poc | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: DiagnosticReportMyHealthEuEps | ||
Copyright/Legal: Copyright European Union, represented by the European Commission - DG SANTE. Licenced under CC-BY-4.0. |
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This profile constrains the DiagnosticReport resource for the purpose of the MyHealth@EU EPS.
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..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (EPS) | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  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" | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| 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:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
 code |
Σ | 1..1 | CodeableConcept | Type of Diagnostic Report Binding: eHDSI Diagnostic Report Code With Exceptions (required) |
| subject |
Σ | 1..1 | Reference(Patient: MyHealth@EU EPS | Group | Location | Device) | Who and/or what this report is about |
 reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this | |
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for report. |
 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 |
 Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() | |
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (Core)) | results | |
| 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.code | Base | required | eHDSI Diagnostic Report Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0 |
| 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 | 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: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReportMyHealthCore | This profile also imposes the profile DiagnosticReport (EPS) | ||
| subject |
1..1 | Reference(Patient: MyHealth@EU EPS | Group | Location | Device) | Who and/or what this report is about | |
 reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| effective[x] |
1..1 | dateTime, Period | Clinically relevant time/time-period for report. | |
| Slices for effective[x] |
Content/Rules for all slices | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report. | |
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() | |
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (Core)) | results | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (EPS) | |
| 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 |
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 | |
| 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 | 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: MyHealth@EU EPS | Group | Location | Device) | Who and/or what this report is about |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display |
Σ | 0..1 | string | Text alternative for the resource |
| encounter |
Σ | 0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered). |
| Slices for effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for report. |
| effective[x]:effectivePeriod |
Σ | 0..1 | Period | Effective period of the report |
| issued |
Σ | 0..1 | instant | Date and time this report was issued |
| Slices for performer |
Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$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. | |
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() | |
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (Core)) | 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) | |
| Documentation for this format | ||||
| 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 v7.2 |
| 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 | MyHealth@EU Core v1.0 |
| DiagnosticReport.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| 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 DiagnosticReportMyHealthCore
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (EPS) | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| 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" | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| 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:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| code |
Σ | 1..1 | CodeableConcept | Type of Diagnostic Report Binding: eHDSI Diagnostic Report Code With Exceptions (required) |
| subject |
Σ | 1..1 | Reference(Patient: MyHealth@EU EPS | Group | Location | Device) | Who and/or what this report is about |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for report. |
| 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 |
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() | |
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (Core)) | results | |
| 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.code | Base | required | eHDSI Diagnostic Report Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0 |
| 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 | 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: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReportMyHealthCore | This profile also imposes the profile DiagnosticReport (EPS) | ||
| subject |
1..1 | Reference(Patient: MyHealth@EU EPS | Group | Location | Device) | Who and/or what this report is about | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| effective[x] |
1..1 | dateTime, Period | Clinically relevant time/time-period for report. | |
| Slices for effective[x] |
Content/Rules for all slices | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report. | |
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() | |
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (Core)) | results | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport (EPS) | |
| 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 |
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 | |
| 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 | 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: MyHealth@EU EPS | Group | Location | Device) | Who and/or what this report is about |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display |
Σ | 0..1 | string | Text alternative for the resource |
| encounter |
Σ | 0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered). |
| Slices for effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for report. |
| effective[x]:effectivePeriod |
Σ | 0..1 | Period | Effective period of the report |
| issued |
Σ | 0..1 | instant | Date and time this report was issued |
| Slices for performer |
Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$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. | |
| Slices for result |
0..* | Reference(Observation) | results Slice: Unordered, Open by profile:resolve() | |
| result:observation-results |
0..* | Reference(Observation: Medical Test Result (Core)) | 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) | |
| Documentation for this format | ||||
| 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 v7.2 |
| 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 | MyHealth@EU Core v1.0 |
| DiagnosticReport.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| 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 DiagnosticReportMyHealthCore
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ MyHealth@Eu. Package myhealth.eu.fhir.eps#1.0.0-poc based on FHIR 4.0.1. Generated 2026-07-16
