This page is part of the MyHealth@Eu Laboratory Report (v0.0.1: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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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.

Usage:

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

Formal Views of Profile Content

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

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

This structure is derived from DiagnosticReportLabEu

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReportLabEu
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
identifier	O	0..*	Identifier	Report identifier Obligations Actor handle LabReportHandler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor handle LabReportHandler
status	O	1..1	code	Status of the Report Obligations Actor handle LabReportHandler
category:studyType	O	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
subject	O	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor handle LabReportHandler
performer		0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Responsible Diagnostic Service.
resultsInterpreter		0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor handle LabReportHandler
result	O	0..*	Reference(Observation Results: Laboratory)	results Obligations Actor handle LabReportHandler
media	O	0..*	BackboneElement	Key images associated with this report Obligations Actor handle LabReportHandler
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor handle LabReportHandler
presentedForm	O	0..*	Attachment	Entire report as issued (pdf) Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
DiagnosticReport.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DiagnosticReportCompositionR5		1..1	(Complex)	Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Laboratory Report)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor handle LabReportHandler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor handle LabReportHandler
performer	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor handle LabReportHandler
result	O	0..*	Reference(Observation Results: Laboratory)	results Obligations Actor handle LabReportHandler
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor handle LabReportHandler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor handle LabReportHandler
presentedForm	O	0..*	Attachment	Entire report as issued (pdf) Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
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	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DiagnosticReportCompositionR5		1..1	(Complex)	Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Laboratory Report)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor handle LabReportHandler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor handle LabReportHandler
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor handle LabReportHandler
result	O	0..*	Reference(Observation Results: Laboratory)	results Obligations Actor handle LabReportHandler
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor handle LabReportHandler
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 (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor handle LabReportHandler
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) Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 DiagnosticReportLabEu

Summary

Structures

This structure refers to these other structures:

• ServiceRequest: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu)
• Patient: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Patient-lab-myhealtheu)
• Practitioner: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Practitioner-eu-myhealth-eu)
• PractitionerRole: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/PractitionerRole-eu-myhealth-eu)
• Specimen: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Specimen-lab-myhealtheu)
• Observation Results: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Differential View

This structure is derived from DiagnosticReportLabEu

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReportLabEu
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
identifier	O	0..*	Identifier	Report identifier Obligations Actor handle LabReportHandler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor handle LabReportHandler
status	O	1..1	code	Status of the Report Obligations Actor handle LabReportHandler
category:studyType	O	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
subject	O	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor handle LabReportHandler
performer		0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Responsible Diagnostic Service.
resultsInterpreter		0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor handle LabReportHandler
result	O	0..*	Reference(Observation Results: Laboratory)	results Obligations Actor handle LabReportHandler
media	O	0..*	BackboneElement	Key images associated with this report Obligations Actor handle LabReportHandler
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor handle LabReportHandler
presentedForm	O	0..*	Attachment	Entire report as issued (pdf) Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
DiagnosticReport.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DiagnosticReportCompositionR5		1..1	(Complex)	Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Laboratory Report)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor handle LabReportHandler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor handle LabReportHandler
performer	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor handle LabReportHandler
result	O	0..*	Reference(Observation Results: Laboratory)	results Obligations Actor handle LabReportHandler
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor handle LabReportHandler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor handle LabReportHandler
presentedForm	O	0..*	Attachment	Entire report as issued (pdf) Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
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	O	0..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor handle LabReportHandler
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DiagnosticReportCompositionR5		1..1	(Complex)	Associated Lab Report Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Laboratory Report)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor handle LabReportHandler
basedOn	O	0..*	Reference(ServiceRequest: Laboratory)	What was requested Obligations Actor handle LabReportHandler
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor handle LabReportHandler
Slices for category	Σ	0..*	CodeableConceptIPS	Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:studyType	OΣ	0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: eHDSI Laboratory Study Types (required) Obligations Actor handle LabReportHandler
category:specialty	Σ	0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
code	O	1..1	CodeableConceptIPS	Type of (Laboratory) Report Binding: eHDSI Laboratory Report Types (required) Obligations Actor handle LabReportHandler
subject	OΣ	1..1	Reference(Patient: Laboratory)	Who and/or what this report is about Obligations Actor handle LabReportHandler
encounter	Σ	0..1	Reference(Encounter)	The healthcare event which this Laboratory Report is about (when test ordered).
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor handle LabReportHandler
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner: Laboratory | PractitionerRole: Laboratory | Organization)	Primary result interpreter
specimen	O	0..*	Reference(Specimen: Laboratory)	Specimens this report is based on. Obligations Actor handle LabReportHandler
result	O	0..*	Reference(Observation Results: Laboratory)	results Obligations Actor handle LabReportHandler
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor handle LabReportHandler
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 (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor handle LabReportHandler
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) Obligations Actor handle LabReportHandler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://terminology.ehdsi.eu/ValueSet/eHDSILanguage from this IG
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:studyType	required	EHDSILabStudyType http://terminology.ehdsi.eu/ValueSet/eHDSILabStudyType from this IG
DiagnosticReport.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://terminology.ehdsi.eu/ValueSet/eHDSILaboratoryReportTypes from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 DiagnosticReportLabEu

Summary

Structures

This structure refers to these other structures:

• ServiceRequest: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu)
• Patient: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Patient-lab-myhealtheu)
• Practitioner: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Practitioner-eu-myhealth-eu)
• PractitionerRole: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/PractitionerRole-eu-myhealth-eu)
• Specimen: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Specimen-lab-myhealtheu)
• Observation Results: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Other representations of profile: CSV, Excel, Schematron