Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R5_DiagnosticReport_R4B

This cross-version profile allows R5 DiagnosticReport content to be represented via FHIR R4B DiagnosticReport resources.

Usages:

• Refer to this Profile: R5: service additional types, R5: Why is action (not) needed? additional types, R5: Coded/Linked Reason for request additional types, R5: Why device was used additional types... Show 14 more, R5: Additional information supporting the diagnostic report (new), R5: Reason the encounter takes place (core or reference) additional types, R5: Why was family member history performed? additional types, R5: Why the study was requested / performed additional types, R5: Why immunization occurred additional types, R5: Concept, condition or observation that supports why the medication was administered additional types, R5: Reason for why the medication is being/was taken additional types, R5: Reason for why the food or fluid is /was consumed (new), R5: The justification that the procedure was performed additional types, R5: Why the request orchestration is needed additional types, R5: Link to results generated during the study (new), R5: Why the assessment was necessary? additional types, R5: Explanation/Justification for procedure or service additional types and R5: The reason why the supply item was requested additional types

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport(4.3.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:note		0..*	Annotation	R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension:study		0..*	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4B(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4B(0.1.0) | ImagingStudy)	R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study Constraints: ext-1
extension:supportingInfo		0..*	(Complex)	R5: Additional information supporting the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		0..1	Reference(Cross-version Profile for R5.Composition for use in FHIR R4B(0.1.0) | Composition)	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Constraints: ext-1
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.3.0	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.3.0	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.exists() and ('#'+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(uri) = '#').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	DiagnosticReport.implicitRules, DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.status, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status, DiagnosticReport.code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport(4.3.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
extension:study		0..*	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4B(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4B(0.1.0) | ImagingStudy)	R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfo		0..*	(Complex)	R5: Additional information supporting the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		0..1	Reference(Cross-version Profile for R5.Composition for use in FHIR R4B(0.1.0) | Composition)	R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		0..1	code	R5: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
media
link
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:link		0..1	Reference(Resource)	R5: Reference to the image or data source additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport(4.3.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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 resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
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 Constraints: dom-r4b
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:note		0..*	Annotation	R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension:study		0..*	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4B(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4B(0.1.0) | ImagingStudy)	R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study Constraints: ext-1
extension:supportingInfo		0..*	(Complex)	R5: Additional information supporting the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		0..1	Reference(Cross-version Profile for R5.Composition for use in FHIR R4B(0.1.0) | Composition)	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Constraints: ext-1
value		0..1	code	Primitive value for code
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)	The subject of the report - usually, but not always, the patient
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..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)
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)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(Observation)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:link		0..1	Reference(Resource)	R5: Reference to the image or data source additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..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)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.3.0	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.3.0	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.3.0	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
DiagnosticReport.media.​link.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.3.0	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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	DiagnosticReport.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status, DiagnosticReport.category, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.subject.extension, DiagnosticReport.subject.extension:subject, DiagnosticReport.subject.reference, DiagnosticReport.subject.type, DiagnosticReport.subject.identifier, DiagnosticReport.subject.display, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.media.link.extension, DiagnosticReport.media.link.extension:link, DiagnosticReport.media.link.reference, DiagnosticReport.media.link.type, DiagnosticReport.media.link.identifier, DiagnosticReport.media.link.display, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status, DiagnosticReport.subject.extension, DiagnosticReport.subject.extension:subject, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.link.extension, DiagnosticReport.media.link.extension:link	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport(4.3.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:note		0..*	Annotation	R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension:study		0..*	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4B(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4B(0.1.0) | ImagingStudy)	R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study Constraints: ext-1
extension:supportingInfo		0..*	(Complex)	R5: Additional information supporting the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		0..1	Reference(Cross-version Profile for R5.Composition for use in FHIR R4B(0.1.0) | Composition)	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Constraints: ext-1
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.3.0	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.3.0	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.exists() and ('#'+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(uri) = '#').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	DiagnosticReport.implicitRules, DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.status, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status, DiagnosticReport.code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport(4.3.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..*	Annotation	R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
extension:study		0..*	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4B(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4B(0.1.0) | ImagingStudy)	R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfo		0..*	(Complex)	R5: Additional information supporting the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		0..1	Reference(Cross-version Profile for R5.Composition for use in FHIR R4B(0.1.0) | Composition)	R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		0..1	code	R5: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
media
link
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:link		0..1	Reference(Resource)	R5: Reference to the image or data source additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport(4.3.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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 resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
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 Constraints: dom-r4b
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:note		0..*	Annotation	R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension:study		0..*	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4B(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4B(0.1.0) | ImagingStudy)	R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study Constraints: ext-1
extension:supportingInfo		0..*	(Complex)	R5: Additional information supporting the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		0..1	Reference(Cross-version Profile for R5.Composition for use in FHIR R4B(0.1.0) | Composition)	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Constraints: ext-1
value		0..1	code	Primitive value for code
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)	The subject of the report - usually, but not always, the patient
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..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)
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)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(Observation)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:link		0..1	Reference(Resource)	R5: Reference to the image or data source additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..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)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.3.0	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.3.0	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.3.0	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
DiagnosticReport.media.​link.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.3.0	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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	DiagnosticReport.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status, DiagnosticReport.category, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.subject.extension, DiagnosticReport.subject.extension:subject, DiagnosticReport.subject.reference, DiagnosticReport.subject.type, DiagnosticReport.subject.identifier, DiagnosticReport.subject.display, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.media.link.extension, DiagnosticReport.media.link.extension:link, DiagnosticReport.media.link.reference, DiagnosticReport.media.link.type, DiagnosticReport.media.link.identifier, DiagnosticReport.media.link.display, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DiagnosticReport.extension, DiagnosticReport.extension:note, DiagnosticReport.extension:study, DiagnosticReport.extension:supportingInfo, DiagnosticReport.extension:composition, DiagnosticReport.modifierExtension, DiagnosticReport.status.extension, DiagnosticReport.status.extension:status, DiagnosticReport.subject.extension, DiagnosticReport.subject.extension:subject, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.link.extension, DiagnosticReport.media.link.extension:link	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.status|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0

Maturity: 0

Other representations of profile: CSV, Excel, Schematron