US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701 United States of America flag

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Resource Profile: Lab Observation: Microbiology Parasitology DiagnosticReport

Official URL: http://va.gov/fhir/StructureDefinition/LabObservationMicrobiologyParasitologyDiagnosticReport Version: 1.6.49
Draft as of 2025-06-13 Computable Name: LabObservationMicrobiologyParasitologyDiagnosticReport

This StructureDefinition contains the maps for VistA file MICROBIOLOGY (63.05) to us-core-diagnosticreport-lab.

See also the FHIR Shorthand.

Use Case Overview

Use Case: Lab Observation: Microbiology Parasitology«us-core-diagnosticreport-lab»LabObservationMicrobiologyParasitologyDiagnosticReportbasedOnperformer[va-by]performer[va-at]subjectresult«us-core-observation-lab»LabObservationMicrobiologyParasitologyObservationperformer[va-at]performer[va-by]specimensubject«FHIR Specimen»LabObservationMicrobiologyParasitologySpecimen«FHIR»ServiceRequestPractitionerOrganizationPatientOrganizationPractitionerPatient

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extension-DiagnosticReport-note 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] S 1..1 Annotation Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... 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: lompdr-54-1421
... 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 Parasitology Observation) Observations

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportLabStatus
http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern Value: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codeextensibleUSCoreDiagnosticReportLabCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lompdr-54-1421best practiceDiagnosticReport.subjectIf {63>63} then reference /Patient based on (2-)
: true
us-core-8errorDiagnosticReporteffective[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-9errorDiagnosticReportissued 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extension-DiagnosticReport-note 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... value[x] S 1..1 Annotation Value of extension
... identifier
.... system S 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
.... value S 0..1 string The value that is unique
... basedOn S 0..* Reference(ServiceRequest) What was requested
... category 1..* CodeableConcept Service category
.... text S 0..1 string Plain text representation of the concept
... Slices for category Content/Rules for all slices
.... category:LaboratorySlice 1..1 CodeableConcept Service category
... code
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
..... code S 0..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject C 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
Constraints: lompdr-54-1421
... Slices for effective[x] 0..1 dateTime, Period Diagnostically relevant time (typically the time of specimen collection)
Slice: Unordered, Open by type:$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 Parasitology Observation) Observations

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportLabStatus
http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus
From this IG

Constraints

IdGradePath(s)DetailsRequirements
lompdr-54-1421best practiceDiagnosticReport.subjectIf {63>63} then reference /Patient based on (2-)
: true
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extension-DiagnosticReport-note 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... 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.note"
..... value[x] S 1..1 Annotation Value of extension
... 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: lompdr-54-1421
... 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 Parasitology 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportLabStatus
http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern Value: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codeextensibleUSCoreDiagnosticReportLabCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lompdr-54-1421best practiceDiagnosticReport.subjectIf {63>63} then reference /Patient based on (2-)
: true
us-core-8errorDiagnosticReporteffective[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-9errorDiagnosticReportissued 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: 13 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extension-DiagnosticReport-note 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] S 1..1 Annotation Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... 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: lompdr-54-1421
... 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 Parasitology Observation) Observations

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportLabStatus
http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern Value: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codeextensibleUSCoreDiagnosticReportLabCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lompdr-54-1421best practiceDiagnosticReport.subjectIf {63>63} then reference /Patient based on (2-)
: true
us-core-8errorDiagnosticReporteffective[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-9errorDiagnosticReportissued 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extension-DiagnosticReport-note 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... value[x] S 1..1 Annotation Value of extension
... identifier
.... system S 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/$Sta3n/63.5
.... value S 0..1 string The value that is unique
... basedOn S 0..* Reference(ServiceRequest) What was requested
... category 1..* CodeableConcept Service category
.... text S 0..1 string Plain text representation of the concept
... Slices for category Content/Rules for all slices
.... category:LaboratorySlice 1..1 CodeableConcept Service category
... code
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
..... code S 0..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject C 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
Constraints: lompdr-54-1421
... Slices for effective[x] 0..1 dateTime, Period Diagnostically relevant time (typically the time of specimen collection)
Slice: Unordered, Open by type:$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 Parasitology Observation) Observations

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportLabStatus
http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus
From this IG

Constraints

IdGradePath(s)DetailsRequirements
lompdr-54-1421best practiceDiagnosticReport.subjectIf {63>63} then reference /Patient based on (2-)
: true

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extension-DiagnosticReport-note 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... 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.note"
..... value[x] S 1..1 Annotation Value of extension
... 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: lompdr-54-1421
... 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 Parasitology 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportLabStatus
http://va.gov/fhir/ValueSet/DiagnosticReportLabStatus
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern Value: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codeextensibleUSCoreDiagnosticReportLabCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lompdr-54-1421best practiceDiagnosticReport.subjectIf {63>63} then reference /Patient based on (2-)
: true
us-core-8errorDiagnosticReporteffective[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-9errorDiagnosticReportissued 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: 13 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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

 

Other representations of profile: CSV, Excel, Schematron