Resumen Clínico del Paciente de Chile
1.0.0-ballot1 - ballot
Chile
Resumen Clínico del Paciente de Chile
1.0.0-ballot1 - ballot
Chile
This page is part of the Resumen Clinico de Paciente de Chile (v1.0.0-ballot1: STU3 Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 0.4.0. For a full list of available versions, see the Directory of published versions
| Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/DiagnosticReport-cl-ips | Version: 1.0.0-ballot1 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: DiagnosticReportClIps | ||
| Other Identifiers: OID:2.16.840.1.113883.2.22.40.13.42.6 | ||||
Reporte resultado de un o varios estudios para diagnosticar una enfermedad. Este perfil es el simil al DiagnosticReport(IPS).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also imposes the profile DiagnosticReport (IPS) | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |
 category |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |
| code |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |
  subject |
1..1 | Reference(Paciente | Group) | El sujeto del informe, generalmente, pero no siempre, es el paciente | |
  reference |
C | 1..1 | string | Referencia literal, interna o url absoluta |
 Slices for effective[x] |
1..1 | Tiempo o periodo de tiempo clínicamente relevante para el informe Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
  effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |
| performer |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Servicio de Diagnóstico Responsable | |
| resultsInterpreter |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Interprete primario del resultado | |
| specimen |
0..* | Reference(Muestra) | Muestras en las que se basa este informe | |
| Slices for result |
0..* | Reference(CL Observación) | Observaciones Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| result:observacion-resultados |
0..* | Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico) | Observations | |
| imagingStudy |
0..* | Reference(Estudio de Imagenología) | Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| 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()
|
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReport | This profile also imposes the profile DiagnosticReport (IPS) | ||
 status |
1..1 | code | registered | partial | preliminary | final + | |
| category |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto | |
| code |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto | |
| subject |
1..1 | Reference(Paciente | Group) | El sujeto del informe, generalmente, pero no siempre, es el paciente | |
| reference |
1..1 | string | Referencia literal, interna o url absoluta | |
| Slices for effective[x] |
1..1 | dateTime, Period | Tiempo o periodo de tiempo clínicamente relevante para el informe Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |
| performer |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Servicio de Diagnóstico Responsable | |
| resultsInterpreter |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Interprete primario del resultado | |
| specimen |
0..* | Reference(Muestra) | Muestras en las que se basa este informe | |
| Slices for result |
0..* | Reference(CL Observación) | Observaciones Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| result:observacion-resultados |
0..* | Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico) | Observations | |
| imagingStudy |
0..* | Reference(Estudio de Imagenología) | Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also imposes the profile DiagnosticReport (IPS) | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for report | |||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||
| category |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||
| code |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |||||
| subject |
1..1 | Reference(Paciente | Group) | El sujeto del informe, generalmente, pero no siempre, es el paciente | |||||
| 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 |
C | 1..1 | string | Referencia literal, interna o url absoluta | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(Encounter) | Health care event when test ordered | |||||
| Slices for effective[x] |
1..1 | Tiempo o periodo de tiempo clínicamente relevante para el informe Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||
| issued |
0..1 | instant | DateTime this version was made | |||||
| performer |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Servicio de Diagnóstico Responsable | |||||
| resultsInterpreter |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Interprete primario del resultado | |||||
| specimen |
0..* | Reference(Muestra) | Muestras en las que se basa este informe | |||||
| Slices for result |
0..* | Reference(CL Observación) | Observaciones Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| result:observacion-resultados |
0..* | Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico) | Observations | |||||
| imagingStudy |
0..* | Reference(Estudio de Imagenología) | Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico | |||||
| media |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
1..1 | Reference(Media) | Reference to the image source | |||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| 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()
|
This structure is derived from DiagnosticReport
Summary
Mandatory: 4 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also imposes the profile DiagnosticReport (IPS) | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |
| category |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |
| code |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |
| subject |
1..1 | Reference(Paciente | Group) | El sujeto del informe, generalmente, pero no siempre, es el paciente | |
| reference |
C | 1..1 | string | Referencia literal, interna o url absoluta |
| Slices for effective[x] |
1..1 | Tiempo o periodo de tiempo clínicamente relevante para el informe Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |
| performer |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Servicio de Diagnóstico Responsable | |
| resultsInterpreter |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Interprete primario del resultado | |
| specimen |
0..* | Reference(Muestra) | Muestras en las que se basa este informe | |
| Slices for result |
0..* | Reference(CL Observación) | Observaciones Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| result:observacion-resultados |
0..* | Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico) | Observations | |
| imagingStudy |
0..* | Reference(Estudio de Imagenología) | Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| 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 View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReport | This profile also imposes the profile DiagnosticReport (IPS) | ||
| status |
1..1 | code | registered | partial | preliminary | final + | |
| category |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto | |
| code |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto | |
| subject |
1..1 | Reference(Paciente | Group) | El sujeto del informe, generalmente, pero no siempre, es el paciente | |
| reference |
1..1 | string | Referencia literal, interna o url absoluta | |
| Slices for effective[x] |
1..1 | dateTime, Period | Tiempo o periodo de tiempo clínicamente relevante para el informe Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |
| performer |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Servicio de Diagnóstico Responsable | |
| resultsInterpreter |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Interprete primario del resultado | |
| specimen |
0..* | Reference(Muestra) | Muestras en las que se basa este informe | |
| Slices for result |
0..* | Reference(CL Observación) | Observaciones Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| result:observacion-resultados |
0..* | Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico) | Observations | |
| imagingStudy |
0..* | Reference(Estudio de Imagenología) | Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also imposes the profile DiagnosticReport (IPS) | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for report | |||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||
| category |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||
| code |
1..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |||||
| subject |
1..1 | Reference(Paciente | Group) | El sujeto del informe, generalmente, pero no siempre, es el paciente | |||||
| 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 |
C | 1..1 | string | Referencia literal, interna o url absoluta | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(Encounter) | Health care event when test ordered | |||||
| Slices for effective[x] |
1..1 | Tiempo o periodo de tiempo clínicamente relevante para el informe Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||
| issued |
0..1 | instant | DateTime this version was made | |||||
| performer |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Servicio de Diagnóstico Responsable | |||||
| resultsInterpreter |
0..* | Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam) | Interprete primario del resultado | |||||
| specimen |
0..* | Reference(Muestra) | Muestras en las que se basa este informe | |||||
| Slices for result |
0..* | Reference(CL Observación) | Observaciones Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| result:observacion-resultados |
0..* | Reference(Observación Resultado: Laboratorio/Patología | Observación Resultado: Imagenológico) | Observations | |||||
| imagingStudy |
0..* | Reference(Estudio de Imagenología) | Referencia a los detalles completos de las imágenes asociadas con el informe diagnóstico | |||||
| media |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
1..1 | Reference(Media) | Reference to the image source | |||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| 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()
|
This structure is derived from DiagnosticReport
Summary
Mandatory: 4 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron