​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.

Use Case Overview

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
value	SΣ	0..1	string	The value that is unique Example General: 123456
basedOn	S	0..*	Reference(ServiceRequest)	What was requested
status	?!SΣC	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:All Slices				Content/Rules for all slices
text	SΣ	0..1	string	Plain text representation of the concept
category:LaboratorySlice	SΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. 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://terminology.hl7.org/CodeSystem/v2-0074
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient Constraints: lomdr-42-1421
Slices for effective[x]	SΣC	0..1		Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	Diagnostically relevant time (typically the time of specimen collection)
issued	SΣC	0..1	instant	When the report was released
Slices for performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1))	Responsible Diagnostic Service Slice: Unordered, Open by value:$this
performer:va-by	SΣ	0..1	Reference(Practitioner)	Responsible Diagnostic Service
performer:va-at	SΣ	0..1	Reference(Organization)	Responsible Diagnostic Service
result	S	0..*	Reference(Lab Observation: Microbiology Observation)	Observations
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportLabStatus http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus From this IG
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:LaboratorySlice	example	Pattern Value: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	USCoreDiagnosticReportLabCodes http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lomdr-42-1421	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: Bindings Constraints Obligations
DiagnosticReport		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
identifier
system	S	0..1	uri	The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
value	S	0..1	string	The value that is unique
basedOn	S	0..*	Reference(ServiceRequest)	What was requested
status		1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus
category		1..*	CodeableConcept	Service category
text	S	0..1	string	Plain text representation of the concept
Slices for category				Content/Rules for all slices
category:LaboratorySlice		1..1	CodeableConcept	Service category
code
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
subject	C	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient Constraints: lomdr-42-1421
Slices for effective[x]		0..1	dateTime, Period	Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime S	Diagnostically relevant time (typically the time of specimen collection)
issued		0..1	instant	When the report was released
Slices for performer		0..*	Reference(US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1))	Responsible Diagnostic Service Slice: Unordered, Open by value:$this
performer:va-by	S	0..1	Reference(Practitioner)	Responsible Diagnostic Service
performer:va-at	S	0..1	Reference(Organization)	Responsible Diagnostic Service
result		0..*	Reference(Lab Observation: Microbiology Observation)	Observations
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportLabStatus http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
lomdr-42-1421	best practice	DiagnosticReport.subject	If {63>63} then reference /Patient based on (2-) : true

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	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
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description 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	SΣ	0..1	uri	The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	S	0..*	Reference(ServiceRequest)	What was requested
status	?!SΣC	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:All Slices				Content/Rules for all slices
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	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
category:LaboratorySlice	SΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. 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://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes
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	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient Constraints: lomdr-42-1421
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	SΣC	0..1		Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime S
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime S	Diagnostically relevant time (typically the time of specimen collection)
issued	SΣC	0..1	instant	When the report was released
Slices for performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1))	Responsible Diagnostic Service Slice: Unordered, Open by value:$this
performer:va-by	SΣ	0..1	Reference(Practitioner)	Responsible Diagnostic Service
performer:va-at	SΣ	0..1	Reference(Organization)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(Lab Observation: Microbiology Observation)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		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	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DiagnosticReport.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportLabStatus http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus From this IG
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:LaboratorySlice	example	Pattern Value: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	USCoreDiagnosticReportLabCodes http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lomdr-42-1421	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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
value	SΣ	0..1	string	The value that is unique Example General: 123456
basedOn	S	0..*	Reference(ServiceRequest)	What was requested
status	?!SΣC	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:All Slices				Content/Rules for all slices
text	SΣ	0..1	string	Plain text representation of the concept
category:LaboratorySlice	SΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. 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://terminology.hl7.org/CodeSystem/v2-0074
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient Constraints: lomdr-42-1421
Slices for effective[x]	SΣC	0..1		Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	Diagnostically relevant time (typically the time of specimen collection)
issued	SΣC	0..1	instant	When the report was released
Slices for performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1))	Responsible Diagnostic Service Slice: Unordered, Open by value:$this
performer:va-by	SΣ	0..1	Reference(Practitioner)	Responsible Diagnostic Service
performer:va-at	SΣ	0..1	Reference(Organization)	Responsible Diagnostic Service
result	S	0..*	Reference(Lab Observation: Microbiology Observation)	Observations
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportLabStatus http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus From this IG
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:LaboratorySlice	example	Pattern Value: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	USCoreDiagnosticReportLabCodes http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lomdr-42-1421	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: Bindings Constraints Obligations
DiagnosticReport		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
identifier
system	S	0..1	uri	The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
value	S	0..1	string	The value that is unique
basedOn	S	0..*	Reference(ServiceRequest)	What was requested
status		1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus
category		1..*	CodeableConcept	Service category
text	S	0..1	string	Plain text representation of the concept
Slices for category				Content/Rules for all slices
category:LaboratorySlice		1..1	CodeableConcept	Service category
code
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
subject	C	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient Constraints: lomdr-42-1421
Slices for effective[x]		0..1	dateTime, Period	Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime S	Diagnostically relevant time (typically the time of specimen collection)
issued		0..1	instant	When the report was released
Slices for performer		0..*	Reference(US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1))	Responsible Diagnostic Service Slice: Unordered, Open by value:$this
performer:va-by	S	0..1	Reference(Practitioner)	Responsible Diagnostic Service
performer:va-at	S	0..1	Reference(Organization)	Responsible Diagnostic Service
result		0..*	Reference(Lab Observation: Microbiology Observation)	Observations
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportLabStatus http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
lomdr-42-1421	best practice	DiagnosticReport.subject	If {63>63} then reference /Patient based on (2-) : true

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	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
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description 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	SΣ	0..1	uri	The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	S	0..*	Reference(ServiceRequest)	What was requested
status	?!SΣC	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:All Slices				Content/Rules for all slices
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	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
category:LaboratorySlice	SΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. 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://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes
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	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient Constraints: lomdr-42-1421
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	SΣC	0..1		Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime S
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime S	Diagnostically relevant time (typically the time of specimen collection)
issued	SΣC	0..1	instant	When the report was released
Slices for performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1))	Responsible Diagnostic Service Slice: Unordered, Open by value:$this
performer:va-by	SΣ	0..1	Reference(Practitioner)	Responsible Diagnostic Service
performer:va-at	SΣ	0..1	Reference(Organization)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(Lab Observation: Microbiology Observation)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		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	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DiagnosticReport.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportLabStatus http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus From this IG
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:LaboratorySlice	example	Pattern Value: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	USCoreDiagnosticReportLabCodes http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lomdr-42-1421	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

Summary

Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (http://va.gov/fhir/StructureDefinition/Patient)
• Practitioner (http://va.gov/fhir/StructureDefinition/Practitioner)
• Organization (http://va.gov/fhir/StructureDefinition/Organization)
• Lab Observation: Microbiology Observation (http://va.gov/fhir/StructureDefinition/LabObservationMicrobiologyObservation)

Slices

This structure defines the following Slices:

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