HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use
HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use
This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.2.0: Release 1) 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
| Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/diagnosticreport-it-lab | Version: 0.2.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: DiagnosticReportRefertoLabIt | ||
Descrizione delle informazioni cliniche tramite il profilo della risorsa DiagnosticReport per il referto di laboratorio.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReportLabEu
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DiagnosticReport | 0..* | DiagnosticReportLabEu | DiagnosticReport Referto di Laboratorio | |
  extension:DiagnosticReportCompositionR5 | 1..1 | R5 DiagnosticReport.composition | Estensione di FHIR R5 per legare la DiagnosticReport a Composition. | |
   value[x] | 1..1 | Reference(Composition - Lab Report) | Reference a Composition. | |
  identifier | 1..1 | Identifier | Identificativo indipendente dalla versione. | |
| basedOn | 0..* | Reference(ServiceRequest - Lab Report) | Reference a una o più prestazioni richieste associate al referto. | |
| status | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required) | |
| category | 0..* | CodeableConceptIPS | Report Category | |
| code | 1..1 | CodeableConceptIPS | Referto di Laboratorio Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 | |
 display | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report | |
| coding | 0..* | CodingIPS | Codice definito da un sistema terminologico. | |
| subject | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | |
| encounter | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | |
| performer | 0..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) | Persona o Organizzazione che partecipa all'evento clinico descritto. | |
| resultsInterpreter | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Chi e/o cosa è l'autore del referto di laboratorio. | |
| specimen | 0..* | Reference(Specimen - Lab Report) | Reference ai campioni su cui si basa la DiagnosticReport. | |
| result | 0..* | Reference(Observation - Lab Report) | Osservazioni cliniche. | |
| media | 0..* | BackboneElement | Contenuto multimediale associate al DiagnosticReport. | |
| comment | 0..1 | string | Commento sull'immagine. | |
| link | 1..1 | Reference(Media - Lab Report) | Riferimento al contenuto multimediale. | |
| presentedForm | 0..* | Attachment | Rappresentazione testuale del Referto di Laboratorio così come emesso. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-statusfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReportLabEu | DiagnosticReport Referto di Laboratorio | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| DiagnosticReportCompositionR5 | 1..1 | Reference(Composition) | Estensione di FHIR R5 per legare la DiagnosticReport a 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 - Lab Report) | Reference a Composition. | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. |
| basedOn | 0..* | Reference(ServiceRequest - Lab Report) | Reference a una o più prestazioni richieste associate al referto. | |
| status | ?!Σ | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required) |
 Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
 category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) |
 category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) |
| code | 1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report | |
| coding | S | 0..* | CodingIPS | Codice definito da un sistema terminologico. |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about |
| encounter | Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). |
| performer | Σ | 0..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) | Persona o Organizzazione che partecipa all'evento clinico descritto. |
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Chi e/o cosa è l'autore del referto di laboratorio. |
| specimen | 0..* | Reference(Specimen - Lab Report) | Reference ai campioni su cui si basa la DiagnosticReport. | |
| result | 0..* | Reference(Observation - Lab Report) | Osservazioni cliniche. | |
| media | Σ | 0..* | BackboneElement | Contenuto multimediale associate al DiagnosticReport. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| comment | 0..1 | string | Commento sull'immagine. | |
| link | Σ | 1..1 | Reference(Media - Lab Report) | Riferimento al contenuto multimediale. |
| presentedForm | 0..* | Attachment | Rappresentazione testuale del Referto di Laboratorio così come emesso. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-statusfrom the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | |
| DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
| DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| DiagnosticReport.code | preferred | Pattern: LOINC code 11502-2("Laboratory report")http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab |
| 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 | DiagnosticReport Referto di Laboratorio | |||||
| 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): A human language.
| |||||
| 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 | Reference(Composition) | Estensione di FHIR R5 per legare la DiagnosticReport a 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 - Lab Report) | Reference a Composition. | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. | ||||
| basedOn | 0..* | Reference(ServiceRequest - Lab Report) | Reference a una o più prestazioni richieste associate al referto. | |||||
| status | ?!Σ | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required) | ||||
| Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | ||||
| category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | ||||
| code | 1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | S | 0..* | CodingIPS | Codice definito da un sistema terminologico. | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | ||||
 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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) | Persona o Organizzazione che partecipa all'evento clinico descritto. | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Chi e/o cosa è l'autore del referto di laboratorio. | ||||
| specimen | 0..* | Reference(Specimen - Lab Report) | Reference ai campioni su cui si basa la DiagnosticReport. | |||||
| result | 0..* | Reference(Observation - Lab Report) | Osservazioni cliniche. | |||||
| media | Σ | 0..* | BackboneElement | Contenuto multimediale associate al DiagnosticReport. | ||||
| 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 | Commento sull'immagine. | |||||
| link | Σ | 1..1 | Reference(Media - Lab Report) | Riferimento al contenuto multimediale. | ||||
| conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm | 0..* | Attachment | Rappresentazione testuale del Referto di Laboratorio così come emesso. | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-statusfrom the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||
| DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||
| DiagnosticReport.code | preferred | Pattern: LOINC code 11502-2("Laboratory report")http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| 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
Mandatory: 1 element
Structures
This structure refers to these other structures:
Maturity: 1
Differential View
This structure is derived from DiagnosticReportLabEu
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReportLabEu | DiagnosticReport Referto di Laboratorio | |
| extension:DiagnosticReportCompositionR5 | 1..1 | R5 DiagnosticReport.composition | Estensione di FHIR R5 per legare la DiagnosticReport a Composition. | |
| value[x] | 1..1 | Reference(Composition - Lab Report) | Reference a Composition. | |
| identifier | 1..1 | Identifier | Identificativo indipendente dalla versione. | |
| basedOn | 0..* | Reference(ServiceRequest - Lab Report) | Reference a una o più prestazioni richieste associate al referto. | |
| status | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required) | |
| category | 0..* | CodeableConceptIPS | Report Category | |
| code | 1..1 | CodeableConceptIPS | Referto di Laboratorio Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report | |
| coding | 0..* | CodingIPS | Codice definito da un sistema terminologico. | |
| subject | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | |
| encounter | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | |
| performer | 0..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) | Persona o Organizzazione che partecipa all'evento clinico descritto. | |
| resultsInterpreter | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Chi e/o cosa è l'autore del referto di laboratorio. | |
| specimen | 0..* | Reference(Specimen - Lab Report) | Reference ai campioni su cui si basa la DiagnosticReport. | |
| result | 0..* | Reference(Observation - Lab Report) | Osservazioni cliniche. | |
| media | 0..* | BackboneElement | Contenuto multimediale associate al DiagnosticReport. | |
| comment | 0..1 | string | Commento sull'immagine. | |
| link | 1..1 | Reference(Media - Lab Report) | Riferimento al contenuto multimediale. | |
| presentedForm | 0..* | Attachment | Rappresentazione testuale del Referto di Laboratorio così come emesso. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-statusfrom the FHIR Standard |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReportLabEu | DiagnosticReport Referto di Laboratorio | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| DiagnosticReportCompositionR5 | 1..1 | Reference(Composition) | Estensione di FHIR R5 per legare la DiagnosticReport a 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 - Lab Report) | Reference a Composition. | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. |
| basedOn | 0..* | Reference(ServiceRequest - Lab Report) | Reference a una o più prestazioni richieste associate al referto. | |
| status | ?!Σ | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required) |
| Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) |
| category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) |
| code | 1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report | |
| coding | S | 0..* | CodingIPS | Codice definito da un sistema terminologico. |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about |
| encounter | Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). |
| performer | Σ | 0..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) | Persona o Organizzazione che partecipa all'evento clinico descritto. |
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Chi e/o cosa è l'autore del referto di laboratorio. |
| specimen | 0..* | Reference(Specimen - Lab Report) | Reference ai campioni su cui si basa la DiagnosticReport. | |
| result | 0..* | Reference(Observation - Lab Report) | Osservazioni cliniche. | |
| media | Σ | 0..* | BackboneElement | Contenuto multimediale associate al DiagnosticReport. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| comment | 0..1 | string | Commento sull'immagine. | |
| link | Σ | 1..1 | Reference(Media - Lab Report) | Riferimento al contenuto multimediale. |
| presentedForm | 0..* | Attachment | Rappresentazione testuale del Referto di Laboratorio così come emesso. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-statusfrom the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | |
| DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
| DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| DiagnosticReport.code | preferred | Pattern: LOINC code 11502-2("Laboratory report")http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab |
| 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 | DiagnosticReport Referto di Laboratorio | |||||
| 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): A human language.
| |||||
| 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 | Reference(Composition) | Estensione di FHIR R5 per legare la DiagnosticReport a 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 - Lab Report) | Reference a Composition. | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 1..1 | Identifier | Identificativo indipendente dalla versione. | ||||
| basedOn | 0..* | Reference(ServiceRequest - Lab Report) | Reference a una o più prestazioni richieste associate al referto. | |||||
| status | ?!Σ | 1..1 | code | Stato del Referto Binding: DiagnosticReportStatus (required) | ||||
| Slices for category | Σ | 0..* | CodeableConceptIPS | Report Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| category:studyType | Σ | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | ||||
| category:specialty | Σ | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | ||||
| code | 1..1 | CodeableConceptIPS | Referto di Laboratorio Binding: Laboratory Report Types (preferred) Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | S | 0..* | CodingIPS | Codice definito da un sistema terminologico. | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Who and/or what this report is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter - Lab Report) | Evento sanitario a cui si riferisce il Referto di Laboratorio (es. al momento della prescrizione). | ||||
| 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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam) | Persona o Organizzazione che partecipa all'evento clinico descritto. | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Chi e/o cosa è l'autore del referto di laboratorio. | ||||
| specimen | 0..* | Reference(Specimen - Lab Report) | Reference ai campioni su cui si basa la DiagnosticReport. | |||||
| result | 0..* | Reference(Observation - Lab Report) | Osservazioni cliniche. | |||||
| media | Σ | 0..* | BackboneElement | Contenuto multimediale associate al DiagnosticReport. | ||||
| 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 | Commento sull'immagine. | |||||
| link | Σ | 1..1 | Reference(Media - Lab Report) | Riferimento al contenuto multimediale. | ||||
| conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm | 0..* | Attachment | Rappresentazione testuale del Referto di Laboratorio così come emesso. | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-statusfrom the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||
| DiagnosticReport.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||
| DiagnosticReport.code | preferred | Pattern: LOINC code 11502-2("Laboratory report")http://hl7.eu/fhir/laboratory/ValueSet/lab-reportType-eu-lab | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| 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
Mandatory: 1 element
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron