CH ELM (R4)
1.2.0 - release Switzerland flag

This page is part of the Observations of notifiable communicable infectious diseases (v1.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH ELM DiagnosticReport: Laboratory Report

Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-diagnosticreport Version: 1.2.0
Active as of 2024-03-28 Computable Name: ChElmDiagnosticReport

Copyright/Legal: CC0-1.0

This CH ELM base profile constrains the DiagnosticReport resource for the purpose of laboratory test reports.

Usage:

Formal Views of Profile Content

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

This structure is derived from ChLabDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*ChLabDiagnosticReportCH ELM DiagnosticReport: Laboratory Report
... identifier 1..1IdentifierPersistent, unique identifier for the diagnostic report (UUID)
.... system 1..1uriThe namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value C1..1stringThe value that is unique
ch-elm-doc-identifier: The identifier must be an UUID.
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1Reference(CH ELM ServiceRequest: Laboratory Order)What was requested
... status 1..1coderegistered | partial | preliminary | final +
Required Pattern: final
... performer 1..1Reference(CH ELM Organization: Lab)Responsible Diagnostic Service
... specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimens this report is based on
... result 1..1Reference(CH ELM Observation Results: Laboratory)Observations

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C0..*ChLabDiagnosticReportCH ELM DiagnosticReport: Laboratory Report
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... DiagnosticReportCompositionR5 1..1Reference(Composition)Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
.... value[x] 1..1Reference(CH Lab Composition: Laboratory Report)Value of extension
... identifier Σ1..1IdentifierPersistent, unique identifier for the diagnostic report (UUID)
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC1..1stringThe value that is unique
ch-elm-doc-identifier: The identifier must be an UUID.
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1Reference(CH ELM ServiceRequest: Laboratory Order)What was requested
... status ?!Σ1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.


Required Pattern: final
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Lab Study Types in Switzerland (required)
.... category:specialty Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles)
Binding: Laboratory Specialty (required)
... code Σ1..1CodeableConceptLaboratory report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:CodeCode Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
... subject Σ1..1Reference(CH ELM Patient)The subject of the report - usually, but not always, the patient
... performer Σ1..1Reference(CH ELM Organization: Lab)Responsible Diagnostic Service
... specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimens this report is based on
... result 1..1Reference(CH ELM Observation Results: Laboratory)Observations

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://fhir.ch/ig/ch-lab-report/ValueSet/ch-lab-report-lab-study-types
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredPattern: LOINC code 11502-2
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
ch-lab-dr1warningDiagnosticReportThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C0..*ChLabDiagnosticReportCH ELM DiagnosticReport: Laboratory Report
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... DiagnosticReportCompositionR5 1..1Reference(Composition)Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
.... value[x] 1..1Reference(CH Lab Composition: Laboratory Report)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierPersistent, unique identifier for the diagnostic report (UUID)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC1..1stringThe value that is unique
ch-elm-doc-identifier: The identifier must be an UUID.
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... basedOn 1..1Reference(CH ELM ServiceRequest: Laboratory Order)What was requested
... status ?!Σ1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.


Required Pattern: final
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Lab Study Types in Switzerland (required)
.... category:specialty Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles)
Binding: Laboratory Specialty (required)
... code Σ1..1CodeableConceptLaboratory report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:CodeCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(CH ELM Patient)The subject of the report - usually, but not always, the patient
... encounter Σ0..1Reference(Encounter)Health care event when test ordered
... effective[x] Σ0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDateTime this version was made
... performer Σ1..1Reference(CH ELM Organization: Lab)Responsible Diagnostic Service
... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
... specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimens this report is based on
... result 1..1Reference(CH ELM Observation Results: Laboratory)Observations
... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media Σ0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical conclusion (interpretation) of test results
... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://fhir.ch/ig/ch-lab-report/ValueSet/ch-lab-report-lab-study-types
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredPattern: LOINC code 11502-2
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
ch-lab-dr1warningDiagnosticReportThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ChLabDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*ChLabDiagnosticReportCH ELM DiagnosticReport: Laboratory Report
... identifier 1..1IdentifierPersistent, unique identifier for the diagnostic report (UUID)
.... system 1..1uriThe namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value C1..1stringThe value that is unique
ch-elm-doc-identifier: The identifier must be an UUID.
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1Reference(CH ELM ServiceRequest: Laboratory Order)What was requested
... status 1..1coderegistered | partial | preliminary | final +
Required Pattern: final
... performer 1..1Reference(CH ELM Organization: Lab)Responsible Diagnostic Service
... specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimens this report is based on
... result 1..1Reference(CH ELM Observation Results: Laboratory)Observations

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C0..*ChLabDiagnosticReportCH ELM DiagnosticReport: Laboratory Report
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... DiagnosticReportCompositionR5 1..1Reference(Composition)Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
.... value[x] 1..1Reference(CH Lab Composition: Laboratory Report)Value of extension
... identifier Σ1..1IdentifierPersistent, unique identifier for the diagnostic report (UUID)
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC1..1stringThe value that is unique
ch-elm-doc-identifier: The identifier must be an UUID.
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
... basedOn 1..1Reference(CH ELM ServiceRequest: Laboratory Order)What was requested
... status ?!Σ1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.


Required Pattern: final
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Lab Study Types in Switzerland (required)
.... category:specialty Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles)
Binding: Laboratory Specialty (required)
... code Σ1..1CodeableConceptLaboratory report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:CodeCode Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
... subject Σ1..1Reference(CH ELM Patient)The subject of the report - usually, but not always, the patient
... performer Σ1..1Reference(CH ELM Organization: Lab)Responsible Diagnostic Service
... specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimens this report is based on
... result 1..1Reference(CH ELM Observation Results: Laboratory)Observations

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://fhir.ch/ig/ch-lab-report/ValueSet/ch-lab-report-lab-study-types
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredPattern: LOINC code 11502-2
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
ch-lab-dr1warningDiagnosticReportThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C0..*ChLabDiagnosticReportCH ELM DiagnosticReport: Laboratory Report
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... DiagnosticReportCompositionR5 1..1Reference(Composition)Associated Lab Report Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
.... value[x] 1..1Reference(CH Lab Composition: Laboratory Report)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierPersistent, unique identifier for the diagnostic report (UUID)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
.... value ΣC1..1stringThe value that is unique
ch-elm-doc-identifier: The identifier must be an UUID.
Example General: 123456
Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... basedOn 1..1Reference(CH ELM ServiceRequest: Laboratory Order)What was requested
... status ?!Σ1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.


Required Pattern: final
... Slices for category Σ0..*CodeableConceptIPSReport Category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:studyType Σ0..*CodeableConceptThe clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Lab Study Types in Switzerland (required)
.... category:specialty Σ0..*CodeableConceptThe way of grouping of the test results into clinically meaningful groups (e.g. liver test; minerals; glucose profiles)
Binding: Laboratory Specialty (required)
... code Σ1..1CodeableConceptLaboratory report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:CodeCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 11502-2
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(CH ELM Patient)The subject of the report - usually, but not always, the patient
... encounter Σ0..1Reference(Encounter)Health care event when test ordered
... effective[x] Σ0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDateTime this version was made
... performer Σ1..1Reference(CH ELM Organization: Lab)Responsible Diagnostic Service
... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
... specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimens this report is based on
... result 1..1Reference(CH ELM Observation Results: Laboratory)Observations
... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media Σ0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical conclusion (interpretation) of test results
... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
DiagnosticReport.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:studyTyperequiredLabStudyTypesEuVs
http://fhir.ch/ig/ch-lab-report/ValueSet/ch-lab-report-lab-study-types
DiagnosticReport.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
DiagnosticReport.codepreferredPattern: LOINC code 11502-2
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-elm-doc-identifiererrorDiagnosticReport.identifier.valueThe identifier must be an UUID.
: startsWith('urn:uuid:')
ch-lab-dr1warningDiagnosticReportThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron