US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701
Publication Build: This will be filled in by the publication tooling
Official URL: http://va.gov/fhir/StructureDefinition/LabObservationDiagnosticReport | Version: 1.6.49 | |||
Draft as of 2025-06-13 | Computable Name: LabObservationDiagnosticReport |
This StructureDefinition contains the maps for VistA file LABORATORY TEST (60) to us-core-diagnosticreport-lab.
See also the FHIR Shorthand.
This is an abstract profile that is copied by other, concrete profiles. Each descendant concrete profile inherits the maps from this more general case. This way, we don’t have to maintain multiple copies of maps for closely related profiles. (Note that this inheritance is managed by the mapping team with a script; we’re not using the FHIR baseDefinition property for this.)
Sometimes, you will notice that an abstract profile includes only "target not supported" maps, so it doesn't look very useful. However, for every profile, we not only map the fields for which we find source data; we also stipulate "target not supported" for any unmapped fields that are tagged "must support" in the US Core. This way, implementers who might be concerned about these fields if they were not mentioned are fully informed about the reason they are not mapped. When there are several concrete profiles that require these clarifying maps, we collect them in an abstract parent, just as we would for cases where we have source element maps.
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | This is an abstract profile. A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) |
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SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
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Content/Rules for all slices | |||
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SΣ | 0..1 | string | Plain text representation of the concept |
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SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |
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SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes |
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SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
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SΣ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lodr-30-1421 |
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SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |
![]() ![]() ![]() ![]() |
dateTime | |||
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SΣC | 0..1 | instant | When the report was released |
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SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1)) | Responsible Diagnostic Service |
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S | 0..* | Reference(Lab Observation Observation) | Observations |
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Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status From the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | |
DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | |
DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes |
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() | |
lodr-30-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | This is an abstract profile. A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() |
1..* | CodeableConcept | Service category | |
![]() ![]() ![]() ![]() |
S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
Content/Rules for all slices | |||
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1..1 | CodeableConcept | Service category | |
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||||
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S | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() |
S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
C | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lodr-30-1421 |
![]() ![]() ![]() |
0..* | Reference(Lab Observation Observation) | Observations | |
![]() |
Id | Grade | Path(s) | Details | Requirements |
lodr-30-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | This is an abstract profile. A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
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?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | ||||
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SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lodr-30-1421 | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
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SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |||||
![]() ![]() ![]() ![]() |
dateTime S | |||||||
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Period | |||||||
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SΣC | 0..1 | instant | When the report was released | ||||
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SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1)) | Responsible Diagnostic Service | ||||
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Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
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0..* | Reference(Specimen) | Specimens this report is based on | |||||
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S | 0..* | Reference(Lab Observation Observation) | Observations | ||||
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0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
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Σ | 0..* | BackboneElement | Key images associated with this report | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
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0..1 | string | Clinical conclusion (interpretation) of test results | |||||
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0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
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0..* | Attachment | Entire report as issued | |||||
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Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status From the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | ||||
DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | ||||
DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings From 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() | |
lodr-30-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | This is an abstract profile. A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) |
![]() ![]() ![]() |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes |
![]() ![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lodr-30-1421 |
![]() ![]() ![]() |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
SΣC | 0..1 | instant | When the report was released |
![]() ![]() ![]() |
SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1)) | Responsible Diagnostic Service |
![]() ![]() ![]() |
S | 0..* | Reference(Lab Observation Observation) | Observations |
![]() |
Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status From the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | |
DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | |
DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes |
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() | |
lodr-30-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
Differential View
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | This is an abstract profile. A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() |
1..* | CodeableConcept | Service category | |
![]() ![]() ![]() ![]() |
S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Service category | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
S | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() |
S | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
C | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lodr-30-1421 |
![]() ![]() ![]() |
0..* | Reference(Lab Observation Observation) | Observations | |
![]() |
Id | Grade | Path(s) | Details | Requirements |
lodr-30-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | This is an abstract profile. A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
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?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | ||||
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SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
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SΣ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lodr-30-1421 | ||||
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Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
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SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |||||
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dateTime S | |||||||
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Period | |||||||
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SΣC | 0..1 | instant | When the report was released | ||||
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SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1)) | Responsible Diagnostic Service | ||||
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Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
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0..* | Reference(Specimen) | Specimens this report is based on | |||||
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S | 0..* | Reference(Lab Observation Observation) | Observations | ||||
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0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
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Σ | 0..* | BackboneElement | Key images associated with this report | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Comment about the image (e.g. explanation) | |||||
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Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
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0..1 | string | Clinical conclusion (interpretation) of test results | |||||
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0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
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0..* | Attachment | Entire report as issued | |||||
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Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status From the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | ||||
DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard | ||||
DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings From 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() | |
lodr-30-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Other representations of profile: CSV, Excel, Schematron