MII IG Modul Patho
2027.0.0-ballot - Germany

MII IG Modul Patho - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Ressourcenprofil: MII PR Patho Report

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report Version: 2027.0.0-ballot
Active Stand: 2026-09-14 Maschinenlesbarer Name: MII_PR_Patho_Report

Das Profil MII PR Patho Report der Ressource DiagnosticReport bildet den kompletten Befundbericht ab, ohne Dokumenteigenschaften zu besitzen (siehe MII-PR-Patho-Composition).

Es stellt hochstrukturierte Untersuchungsergebnisse einschließlich menschenlesbarer Texte (Narrative) dar, die zu „Panels“ von Einzeluntersuchungen gehören. Es sammelt und organisiert PathologyFindings für auch komplexe Einzelergebnisse und kann weitere Informationen zum Untersuchungspanel, z.B. auch klinische Informationen und Probeninformationen referenzieren. Ein vollständiger formatierter Befundtext sollte Teil des MII PR Patho Report sein. Ein vollständiges Beispiel eines Pathologiebefundberichts mit Narrativen findet sich im Prostate Cancer Spec IG.

Die wichtigsten Besonderheiten des MII PR Patho Report sind:

  • die Möglichkeit, zusätzlichen klinischen Kontext, z.B. eine Mischung von Ergebnissen aus Einzelbeobachtungen, Bildern, Texten und formatisierten Darstellungen einzubinden,
  • die Möglichkeit, Informationen zu mehreren Proben (hier die klinischerseits eingesandten Proben) zu einzubinden,
  • und die Möglichkeit, eine zusammenfassende Bewertung, die Conclusion, sowie einen oder mehrere Conclusion.codes abzubilden, die nicht identisch mit PathologyFindings sind.

Das MII PR Patho Report bildet als Entry in der Section "patho-diagnostic-report" des Profils MII PR Patho Composition den Kern eines persistenten Dokuments "Pathologiebefundbericht".

In untenstehender Tabelle sind Elemente mit * markiert, die im Profil MII PR Patho Composition dupliziert werden.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... 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:related-report S 0..* RelatedArtifact Verwandter Bericht
URL: http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact
.... extension:composition S 0..1 Reference(Cross-version Profile for R5.Composition for use in FHIR R4(0.1.0) | Composition) Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Business identifier for report
Slice: Unordered, Open by pattern:$this.type
.... identifier:Set-ID SΣ 1..1 Identifier Set-ID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..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.
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 1..1 string Representation defined by the system
Fixed Value: Accession ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... basedOn S 1..* Reference(MII PR Patho Service Request) Reference to respective MII_PR_Patho_Service_Request
... status ?!SΣ 1..1 code Status
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Kategorie
Binding: MII VS Patho Report Category HL7 (extensible)
... code SΣ 1..1 CodeableConcept Pathology report code
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:pathology-report SΣ 1..1 Coding Pathologie-Befund Code
Binding: MII VS Patho Report Code [LOINC] (extensible)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient) Patient
... encounter SΣ 0..1 Reference(Encounter) Fall
... effective[x] SΣ 0..1 dateTime Dokumentationsdatum
... performer SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Autor
... specimen S 1..* Reference(Specimen) Probe
... Slices for result S 1..* Reference(Observation) Ergebnis
Slice: Ordered, Closed by value:resolve().code
.... result:intraoperative-observations S 0..1 Reference(MII PR Patho Intraoperative Grouper) Reference to intraoperative Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:macroscopic-observations S 0..1 Reference(MII PR Patho Macroscopic Grouper) Reference to macroscopic Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:microscopic-observations S 0..1 Reference(MII PR Patho Microscopic Grouper) Reference to microscopic Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:additional-observations S 0..1 Reference(MII PR Patho Additional Specified Grouper) Reference to any additional Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:diagnostic-conclusion S 1..1 Reference(MII PR Patho Diagnostic Conclusion Grouper) Reference to the 'Diagnostic Conclusion' grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... imagingStudy S 0..* Reference(ImagingStudy) Bildinformationen
... media SΣ 0..* BackboneElement Reference to single attached images
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link SΣ 1..1 Reference(MII PR Patho Attached Image) Reference to the image source
... conclusionCode S 0..* CodeableConcept Schlussfolgerungscode
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm S 0..* Attachment Menschenlesbare Form

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.identifier:Set-ID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:Set-ID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible MII VS Patho Report Category HL7 📦2027.0.0-ballot This IG
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code.​coding:pathology-report Base extensible MII VS Patho Report Code [LOINC] 📦2027.0.0-ballot This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Diese Struktur ist abgeleitet von DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... id S 0..1 id Logical id of this artifact
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... text S 0..1 Narrative Text summary of the resource, for human interpretation
.... extension:related-report S 0..* RelatedArtifact Verwandter Bericht
URL: http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact
.... extension:composition S 0..1 Reference(Cross-version Profile for R5.Composition for use in FHIR R4(0.1.0) | Composition) Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
... Slices for identifier S 1..* Identifier Business identifier for report
Slice: Unordered, Open by pattern:$this.type
.... identifier:Set-ID S 1..1 Identifier Set-ID
..... type S 1..1 CodeableConcept Description of identifier
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/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 1..1 string Representation defined by the system
Fixed Value: Accession ID
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... basedOn S 1..* Reference(MII PR Patho Service Request) Reference to respective MII_PR_Patho_Service_Request
... status S 1..1 code Status
... category S 0..* CodeableConcept Kategorie
Binding: MII VS Patho Report Category HL7 (extensible)
... code S 1..1 CodeableConcept Pathology report code
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:pathology-report S 1..1 Coding Pathologie-Befund Code
Binding: MII VS Patho Report Code [LOINC] (extensible)
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient) Patient
... encounter S 0..1 Reference(Encounter) Fall
... effective[x] S 0..1 dateTime Dokumentationsdatum
... performer S 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Autor
... specimen S 1..* Reference(Specimen) Probe
... Slices for result S 1..* Reference(Observation) Ergebnis
Slice: Ordered, Closed by value:resolve().code
.... result:intraoperative-observations S 0..1 Reference(MII PR Patho Intraoperative Grouper) Reference to intraoperative Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:macroscopic-observations S 0..1 Reference(MII PR Patho Macroscopic Grouper) Reference to macroscopic Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:microscopic-observations S 0..1 Reference(MII PR Patho Microscopic Grouper) Reference to microscopic Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:additional-observations S 0..1 Reference(MII PR Patho Additional Specified Grouper) Reference to any additional Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:diagnostic-conclusion S 1..1 Reference(MII PR Patho Diagnostic Conclusion Grouper) Reference to the 'Diagnostic Conclusion' grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... imagingStudy S 0..* Reference(ImagingStudy) Bildinformationen
... media S 0..* BackboneElement Reference to single attached images
.... link S 1..1 Reference(MII PR Patho Attached Image) Reference to the image source
... conclusionCode S 0..* CodeableConcept Schlussfolgerungscode
... presentedForm S 0..* Attachment Menschenlesbare Form

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category Base extensible MII VS Patho Report Category HL7 📦2027.0.0-ballot This IG
DiagnosticReport.code.​coding:pathology-report Base extensible MII VS Patho Report Code [LOINC] 📦2027.0.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:related-report S 0..* RelatedArtifact Verwandter Bericht
URL: http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact
.... extension:composition S 0..1 Reference(Cross-version Profile for R5.Composition for use in FHIR R4(0.1.0) | Composition) Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Business identifier for report
Slice: Unordered, Open by pattern:$this.type
.... identifier:Set-ID SΣ 1..1 Identifier Set-ID
..... 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 SΣ 1..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.
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 1..1 string Representation defined by the system
Fixed Value: Accession ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..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 1..* Reference(MII PR Patho Service Request) Reference to respective MII_PR_Patho_Service_Request
... status ?!SΣ 1..1 code Status
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Kategorie
Binding: MII VS Patho Report Category HL7 (extensible)
... code SΣ 1..1 CodeableConcept Pathology report code
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:pathology-report SΣ 1..1 Coding Pathologie-Befund Code
Binding: MII VS Patho Report Code [LOINC] (extensible)
...... 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 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Patient
... encounter SΣ 0..1 Reference(Encounter) Fall
... effective[x] SΣ 0..1 dateTime Dokumentationsdatum
... issued Σ 0..1 instant DateTime this version was made
... performer SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Autor
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 1..* Reference(Specimen) Probe
... Slices for result S 1..* Reference(Observation) Ergebnis
Slice: Ordered, Closed by value:resolve().code
.... result:intraoperative-observations S 0..1 Reference(MII PR Patho Intraoperative Grouper) Reference to intraoperative Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:macroscopic-observations S 0..1 Reference(MII PR Patho Macroscopic Grouper) Reference to macroscopic Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:microscopic-observations S 0..1 Reference(MII PR Patho Microscopic Grouper) Reference to microscopic Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:additional-observations S 0..1 Reference(MII PR Patho Additional Specified Grouper) Reference to any additional Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:diagnostic-conclusion S 1..1 Reference(MII PR Patho Diagnostic Conclusion Grouper) Reference to the 'Diagnostic Conclusion' grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... imagingStudy S 0..* Reference(ImagingStudy) Bildinformationen
... media SΣ 0..* BackboneElement Reference to single attached images
.... 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 SΣ 1..1 Reference(MII PR Patho Attached Image) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode S 0..* CodeableConcept Schlussfolgerungscode
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm S 0..* Attachment Menschenlesbare Form

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:Set-ID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:Set-ID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible MII VS Patho Report Category HL7 📦2027.0.0-ballot This IG
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code.​coding:pathology-report Base extensible MII VS Patho Report Code [LOINC] 📦2027.0.0-ballot This IG
DiagnosticReport.result:intraoperative-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:macroscopic-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:microscopic-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:additional-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:diagnostic-conclusion.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Diese Struktur ist abgeleitet von DiagnosticReport

Summary

Mandatory: 16 elements(4 nested mandatory elements)
Must-Support: 39 elements
Fixed: 1 element

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.identifier
  • The element 1 is sliced based on the value of DiagnosticReport.code.coding
  • The element 1 is sliced based on the value of DiagnosticReport.result (ordered, Closed)

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... 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:related-report S 0..* RelatedArtifact Verwandter Bericht
URL: http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact
.... extension:composition S 0..1 Reference(Cross-version Profile for R5.Composition for use in FHIR R4(0.1.0) | Composition) Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Business identifier for report
Slice: Unordered, Open by pattern:$this.type
.... identifier:Set-ID SΣ 1..1 Identifier Set-ID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..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.
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 1..1 string Representation defined by the system
Fixed Value: Accession ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... basedOn S 1..* Reference(MII PR Patho Service Request) Reference to respective MII_PR_Patho_Service_Request
... status ?!SΣ 1..1 code Status
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Kategorie
Binding: MII VS Patho Report Category HL7 (extensible)
... code SΣ 1..1 CodeableConcept Pathology report code
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:pathology-report SΣ 1..1 Coding Pathologie-Befund Code
Binding: MII VS Patho Report Code [LOINC] (extensible)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient) Patient
... encounter SΣ 0..1 Reference(Encounter) Fall
... effective[x] SΣ 0..1 dateTime Dokumentationsdatum
... performer SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Autor
... specimen S 1..* Reference(Specimen) Probe
... Slices for result S 1..* Reference(Observation) Ergebnis
Slice: Ordered, Closed by value:resolve().code
.... result:intraoperative-observations S 0..1 Reference(MII PR Patho Intraoperative Grouper) Reference to intraoperative Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:macroscopic-observations S 0..1 Reference(MII PR Patho Macroscopic Grouper) Reference to macroscopic Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:microscopic-observations S 0..1 Reference(MII PR Patho Microscopic Grouper) Reference to microscopic Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:additional-observations S 0..1 Reference(MII PR Patho Additional Specified Grouper) Reference to any additional Observation grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... result:diagnostic-conclusion S 1..1 Reference(MII PR Patho Diagnostic Conclusion Grouper) Reference to the 'Diagnostic Conclusion' grouper(s)
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... imagingStudy S 0..* Reference(ImagingStudy) Bildinformationen
... media SΣ 0..* BackboneElement Reference to single attached images
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link SΣ 1..1 Reference(MII PR Patho Attached Image) Reference to the image source
... conclusionCode S 0..* CodeableConcept Schlussfolgerungscode
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm S 0..* Attachment Menschenlesbare Form

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.identifier:Set-ID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:Set-ID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible MII VS Patho Report Category HL7 📦2027.0.0-ballot This IG
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code.​coding:pathology-report Base extensible MII VS Patho Report Code [LOINC] 📦2027.0.0-ballot This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Differential-Ansicht

Diese Struktur ist abgeleitet von DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... id S 0..1 id Logical id of this artifact
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... text S 0..1 Narrative Text summary of the resource, for human interpretation
.... extension:related-report S 0..* RelatedArtifact Verwandter Bericht
URL: http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact
.... extension:composition S 0..1 Reference(Cross-version Profile for R5.Composition for use in FHIR R4(0.1.0) | Composition) Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
... Slices for identifier S 1..* Identifier Business identifier for report
Slice: Unordered, Open by pattern:$this.type
.... identifier:Set-ID S 1..1 Identifier Set-ID
..... type S 1..1 CodeableConcept Description of identifier
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/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 1..1 string Representation defined by the system
Fixed Value: Accession ID
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... basedOn S 1..* Reference(MII PR Patho Service Request) Reference to respective MII_PR_Patho_Service_Request
... status S 1..1 code Status
... category S 0..* CodeableConcept Kategorie
Binding: MII VS Patho Report Category HL7 (extensible)
... code S 1..1 CodeableConcept Pathology report code
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:pathology-report S 1..1 Coding Pathologie-Befund Code
Binding: MII VS Patho Report Code [LOINC] (extensible)
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient) Patient
... encounter S 0..1 Reference(Encounter) Fall
... effective[x] S 0..1 dateTime Dokumentationsdatum
... performer S 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Autor
... specimen S 1..* Reference(Specimen) Probe
... Slices for result S 1..* Reference(Observation) Ergebnis
Slice: Ordered, Closed by value:resolve().code
.... result:intraoperative-observations S 0..1 Reference(MII PR Patho Intraoperative Grouper) Reference to intraoperative Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:macroscopic-observations S 0..1 Reference(MII PR Patho Macroscopic Grouper) Reference to macroscopic Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:microscopic-observations S 0..1 Reference(MII PR Patho Microscopic Grouper) Reference to microscopic Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:additional-observations S 0..1 Reference(MII PR Patho Additional Specified Grouper) Reference to any additional Observation grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... result:diagnostic-conclusion S 1..1 Reference(MII PR Patho Diagnostic Conclusion Grouper) Reference to the 'Diagnostic Conclusion' grouper(s)
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... imagingStudy S 0..* Reference(ImagingStudy) Bildinformationen
... media S 0..* BackboneElement Reference to single attached images
.... link S 1..1 Reference(MII PR Patho Attached Image) Reference to the image source
... conclusionCode S 0..* CodeableConcept Schlussfolgerungscode
... presentedForm S 0..* Attachment Menschenlesbare Form

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category Base extensible MII VS Patho Report Category HL7 📦2027.0.0-ballot This IG
DiagnosticReport.code.​coding:pathology-report Base extensible MII VS Patho Report Code [LOINC] 📦2027.0.0-ballot This IG

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:related-report S 0..* RelatedArtifact Verwandter Bericht
URL: http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact
.... extension:composition S 0..1 Reference(Cross-version Profile for R5.Composition for use in FHIR R4(0.1.0) | Composition) Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Business identifier for report
Slice: Unordered, Open by pattern:$this.type
.... identifier:Set-ID SΣ 1..1 Identifier Set-ID
..... 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 SΣ 1..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.
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 1..1 string Representation defined by the system
Fixed Value: Accession ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..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 1..* Reference(MII PR Patho Service Request) Reference to respective MII_PR_Patho_Service_Request
... status ?!SΣ 1..1 code Status
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Kategorie
Binding: MII VS Patho Report Category HL7 (extensible)
... code SΣ 1..1 CodeableConcept Pathology report code
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:pathology-report SΣ 1..1 Coding Pathologie-Befund Code
Binding: MII VS Patho Report Code [LOINC] (extensible)
...... 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 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Patient
... encounter SΣ 0..1 Reference(Encounter) Fall
... effective[x] SΣ 0..1 dateTime Dokumentationsdatum
... issued Σ 0..1 instant DateTime this version was made
... performer SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Autor
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 1..* Reference(Specimen) Probe
... Slices for result S 1..* Reference(Observation) Ergebnis
Slice: Ordered, Closed by value:resolve().code
.... result:intraoperative-observations S 0..1 Reference(MII PR Patho Intraoperative Grouper) Reference to intraoperative Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:macroscopic-observations S 0..1 Reference(MII PR Patho Macroscopic Grouper) Reference to macroscopic Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:microscopic-observations S 0..1 Reference(MII PR Patho Microscopic Grouper) Reference to microscopic Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:additional-observations S 0..1 Reference(MII PR Patho Additional Specified Grouper) Reference to any additional Observation grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... result:diagnostic-conclusion S 1..1 Reference(MII PR Patho Diagnostic Conclusion Grouper) Reference to the 'Diagnostic Conclusion' grouper(s)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... imagingStudy S 0..* Reference(ImagingStudy) Bildinformationen
... media SΣ 0..* BackboneElement Reference to single attached images
.... 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 SΣ 1..1 Reference(MII PR Patho Attached Image) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode S 0..* CodeableConcept Schlussfolgerungscode
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm S 0..* Attachment Menschenlesbare Form

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:Set-ID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:Set-ID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible MII VS Patho Report Category HL7 📦2027.0.0-ballot This IG
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code.​coding:pathology-report Base extensible MII VS Patho Report Code [LOINC] 📦2027.0.0-ballot This IG
DiagnosticReport.result:intraoperative-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:macroscopic-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:microscopic-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:additional-observations.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.result:diagnostic-conclusion.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Diese Struktur ist abgeleitet von DiagnosticReport

Summary

Mandatory: 16 elements(4 nested mandatory elements)
Must-Support: 39 elements
Fixed: 1 element

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.identifier
  • The element 1 is sliced based on the value of DiagnosticReport.code.coding
  • The element 1 is sliced based on the value of DiagnosticReport.result (ordered, Closed)

 

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