| Official URL: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_DiagnosticReport | Version: 1.0.0-update | |||
| Draft as of 2026-06-11 | Computable Name: KBV_PR_MIO_LAB_DiagnosticReport | |||
Copyright/Legal: Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED ‘AS IS.’ ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation. |
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Profil für den Laborgesamtbefund (DiagnosticReport). Darin verschachtelt unter “Ergebnisse” (DiagnosticReport.result) ist die Referenz auf “Untersuchungsgruppe” (Observation_Laboratory_Study_Group), darin die Referenz auf “Laboruntersuchung” (Observation_Laboratory_Study), darin die Referenz auf “Probe” (Specimen).
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 |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: diag-status-1 |
  meta |
SΣ | 0..1 | Meta | Metadata about the resource |
   versionId |
SΣ | 0..1 | id | Version specific identifier |
 lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed |
 Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Closed by value:url |
  extension:orderEntryTime |
S | 0..1 | (Complex) | Auftrageingangszeitpunkt im Labor URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time |
   extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time" | |
 value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:pseudonymizedReport |
S | 0..1 | (Complex) | Kennzeichnung, ob ein Laborbefund pseudonymisiert ist URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:criticalResult |
S | 0..1 | (Complex) | Manuell gesetztes Kennzeichen Kritischer Befund URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:secondaryStatus |
S | 0..3 | (Complex) | Änderungsstatus Laborbefund (Sekundärstatus) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status" | |
 value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_MIO_LAB_Secondary_Status (1.0.0-update) (required) |
 system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
 extension:DiagnosticReportCompositionR5 |
S | 1..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
 value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Composition(1.0.0-update)) | Reference to a Composition resource for the DiagnosticReport structure |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣ | 1..2 | Identifier | Business identifier for report Slice: Unordered, Closed by value:type |
| identifier:orderNumberLab |
SΣ | 0..1 | Identifier | Auftragnummer des Labors |
 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 |
SΣ | 1..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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator |
| version |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 1.0.0-update |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AL |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Auftragsnummer des Labors |
| 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 |
| identifier:overallLabReport |
SΣ | 1..1 | Identifier | Versionsunabhängiger konstanter Identifikator Laborgesamtbefund (UUID) |
| 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 |
Σ | 1..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: RI | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Resource Identifier | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| basedOn |
S | 1..1 | Reference(KBV_PR_MIO_LAB_ServiceRequest(1.0.0-update)) | What was requested |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| status |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: KBV_VS_MIO_LAB_Diagnostic_ReportStatus (1.0.0-update) (required) |
| code |
SΣ | 1..1 | CodeableConcept | Deklariert "Laborbefund" Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| coding |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 2.82 |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| subject |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) | Zu behandelnde Person |
| identifier |
SΣ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Fallbezug |
| issued |
SΣ | 1..1 | instant | Dokumentationszeitpunkt Laborgesamtbefund |
| performer |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) | Auftragnehmendes Labor |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| specimen |
S | 0..* | Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update)) | Specimens this report is based on |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| result |
S | 1..* | Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update)) | Observations |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:sortingNumberGroup |
S | 1..1 | (Complex) | Sortiernummer Untersuchungsgruppe URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number" | |
| value[x] |
S | 1..1 | positiveInt | Value of extension |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| media |
SΣ | 0..* | BackboneElement | Ergänzende Dokumente (zusätzlich zum strukturierten Teil des Laborbefundes) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| comment |
S | 0..1 | string | Freitext-Angaben zum ergänzenden Dokument |
| link |
SΣ | 1..1 | Reference(Media) | Reference to the image source |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:link |
S | 1..1 | (Complex) | Referenzierung auf ergänzende Dokumente URL: http://hl7.org/fhir/StructureDefinition/alternate-reference |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_DocumentReference(1.0.0-update)) | Value of extension |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| display |
SΣ | 1..1 | string | Text alternative for the resource Required Pattern: Media wird durch eine DocumentReference dargestellt, auf die in einer Extension verwiesen wird. |
| conclusion |
S | 0..1 | string | Beurteilung des Laborgesamtbefundes |
| presentedForm |
S | 0..* | Attachment | Kompletter Gesamtbefund als exportierbares Format |
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required) Example General: text/plain; charset=UTF-8, image/png |
| data |
S | 1..1 | base64Binary | Data inline, base64ed |
| title |
SΣ | 1..1 | string | Label to display in place of the data Example General: Official Corporate Logo |
| creation |
SΣ | 0..1 | dateTime | Date attachment was first created |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.extension:secondaryStatus.value[x] | Base | required | Sekundärstatus Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.identifier:orderNumberLab.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier:overallLabReport.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | Status Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.contentType | Base | required | Dateiformat | 📍1.0.0-update | This IG |
| Id | Grade | Path(s) | Description | Expression |
| diag-status-1 | error | DiagnosticReport | A secondary status can only be provided if the diagnostic report status is either "partial" or "preliminary". |
status in ('registered'|'final'|'cancelled'|'entered-in-error') implies extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status').empty()
|
| 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 |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: diag-status-1 |
 meta |
S | 0..1 | Meta | Metadata about the resource |
| id |
0..0 | Unique id for inter-element referencing | ||
| versionId |
S | 0..1 | id | Version specific identifier |
| lastUpdated |
S | 0..1 | instant | When the resource version last changed |
| source |
0..0 | Identifies where the resource comes from | ||
| implicitRules |
0..0 | A set of rules under which this content was created | ||
| language |
0..0 | Language of the resource content | ||
| text |
||||
| status |
1..1 | code | generated | extensions | additional | empty Required Pattern: extensions | |
| contained |
0..0 | Contained, inline Resources | ||
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Closed by value:url |
| extension:orderEntryTime |
S | 0..1 | (Complex) | Auftrageingangszeitpunkt im Labor URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time |
| value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:pseudonymizedReport |
S | 0..1 | (Complex) | Kennzeichnung, ob ein Laborbefund pseudonymisiert ist URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:criticalResult |
S | 0..1 | (Complex) | Manuell gesetztes Kennzeichen Kritischer Befund URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:secondaryStatus |
S | 0..3 | (Complex) | Änderungsstatus Laborbefund (Sekundärstatus) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status |
| value[x] |
S | 1..1 | Coding | Value of extension |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 0..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| extension:DiagnosticReportCompositionR5 |
S | 1..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition |
| extension |
0..0 | Extension | ||
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Composition(1.0.0-update)) | Reference to a Composition resource for the DiagnosticReport structure |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| Slices for identifier |
S | 1..2 | Identifier | Business identifier for report Slice: Unordered, Closed by value:type |
| identifier:orderNumberLab |
S | 0..1 | Identifier | Auftragnummer des Labors |
| use |
0..0 | usual | official | temp | secondary | old (If known) | ||
| type |
S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
| coding |
S | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator |
| version |
S | 1..1 | string | Version of the system - if relevant Fixed Value: 1.0.0-update |
| code |
S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AL |
| display |
S | 1..1 | string | Representation defined by the system Fixed Value: Auftragsnummer des Labors |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| text |
0..0 | Plain text representation of the concept | ||
| system |
S | 1..1 | uri | The namespace for the identifier value |
| value |
S | 1..1 | string | The value that is unique |
| period |
0..0 | Time period when id is/was valid for use | ||
| assigner |
0..0 | Organization that issued id (may be just text) | ||
| identifier:overallLabReport |
S | 1..1 | Identifier | Versionsunabhängiger konstanter Identifikator Laborgesamtbefund (UUID) |
| use |
0..0 | usual | official | temp | secondary | old (If known) | ||
| type |
S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
| coding |
1..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: RI | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Resource Identifier | |
| text |
0..0 | Plain text representation of the concept | ||
| system |
S | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
S | 1..1 | string | The value that is unique |
| period |
0..0 | Time period when id is/was valid for use | ||
| assigner |
0..0 | Organization that issued id (may be just text) | ||
| basedOn |
S | 1..1 | Reference(KBV_PR_MIO_LAB_ServiceRequest(1.0.0-update)) | What was requested |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| status |
S | 1..1 | code | registered | partial | preliminary | final + Binding: KBV_VS_MIO_LAB_Diagnostic_ReportStatus (1.0.0-update) (required) |
| category |
0..0 | Service category | ||
| code |
S | 1..1 | CodeableConcept | Deklariert "Laborbefund" |
| coding |
S | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version |
S | 1..1 | string | Version of the system - if relevant Fixed Value: 2.82 |
| code |
S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 |
| display |
S | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) | Zu behandelnde Person |
| identifier |
S | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known |
| encounter |
S | 0..1 | Reference(Encounter) | Fallbezug |
| effective[x] |
0..0 | Clinically relevant time/time-period for report | ||
| issued |
S | 1..1 | instant | Dokumentationszeitpunkt Laborgesamtbefund |
| performer |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) | Auftragnehmendes Labor |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| resultsInterpreter |
0..0 | Primary result interpreter | ||
| specimen |
S | 0..* | Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update)) | Specimens this report is based on |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| result |
S | 1..* | Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update)) | Observations |
| extension |
S | 1..* | Extension | Extension |
| Slices for extension |
Content/Rules for all slices | |||
| extension:sortingNumberGroup |
S | 1..1 | (Complex) | Sortiernummer Untersuchungsgruppe URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number |
| value[x] |
S | 1..1 | positiveInt | Value of extension |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| imagingStudy |
0..0 | Reference to full details of imaging associated with the diagnostic report | ||
| media |
S | 0..* | BackboneElement | Ergänzende Dokumente (zusätzlich zum strukturierten Teil des Laborbefundes) |
| comment |
S | 0..1 | string | Freitext-Angaben zum ergänzenden Dokument |
| link |
S | 1..1 | Reference(Media) | Reference to the image source |
| extension |
S | 1..* | Extension | Extension |
| Slices for extension |
Content/Rules for all slices | |||
| extension:link |
S | 1..1 | (Complex) | Referenzierung auf ergänzende Dokumente URL: http://hl7.org/fhir/StructureDefinition/alternate-reference |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_DocumentReference(1.0.0-update)) | Value of extension |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
S | 1..1 | string | Text alternative for the resource Required Pattern: Media wird durch eine DocumentReference dargestellt, auf die in einer Extension verwiesen wird. |
| conclusion |
S | 0..1 | string | Beurteilung des Laborgesamtbefundes |
| conclusionCode |
0..0 | Codes for the clinical conclusion of test results | ||
| presentedForm |
S | 0..* | Attachment | Kompletter Gesamtbefund als exportierbares Format |
| contentType |
S | 1..1 | code | Mime type of the content, with charset etc. Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required) |
| language |
0..0 | Human language of the content (BCP-47) | ||
| data |
S | 1..1 | base64Binary | Data inline, base64ed |
| url |
0..0 | Uri where the data can be found | ||
| size |
0..0 | Number of bytes of content (if url provided) | ||
| hash |
0..0 | Hash of the data (sha-1, base64ed) | ||
| title |
S | 1..1 | string | Label to display in place of the data |
| creation |
S | 0..1 | dateTime | Date attachment was first created |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | Status Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.presentedForm.contentType | Base | required | Dateiformat | 📍1.0.0-update | This IG |
| Id | Grade | Path(s) | Description | Expression |
| diag-status-1 | error | DiagnosticReport | A secondary status can only be provided if the diagnostic report status is either "partial" or "preliminary". |
status in ('registered'|'final'|'cancelled'|'entered-in-error') implies extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status').empty()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: diag-status-1 |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| versionId |
SΣ | 0..1 | id | Version specific identifier |
| lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed |
| profile |
Σ | 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". |
| 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 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| status |
1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: extensions | |
| div |
C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2 |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Closed by value:url |
| extension:orderEntryTime |
S | 0..1 | (Complex) | Auftrageingangszeitpunkt im Labor URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time" | |
| value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:pseudonymizedReport |
S | 0..1 | (Complex) | Kennzeichnung, ob ein Laborbefund pseudonymisiert ist URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:criticalResult |
S | 0..1 | (Complex) | Manuell gesetztes Kennzeichen Kritischer Befund URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:secondaryStatus |
S | 0..3 | (Complex) | Änderungsstatus Laborbefund (Sekundärstatus) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status" | |
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_MIO_LAB_Secondary_Status (1.0.0-update) (required) |
| 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 |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| extension:DiagnosticReportCompositionR5 |
S | 1..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Composition(1.0.0-update)) | Reference to a Composition resource for the DiagnosticReport structure |
| 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 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣ | 1..2 | Identifier | Business identifier for report Slice: Unordered, Closed by value:type |
| identifier:orderNumberLab |
SΣ | 0..1 | Identifier | Auftragnummer des Labors |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| 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 Slice: Unordered, Open by value:url | |
| coding |
SΣ | 1..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 Slice: Unordered, Open by value:url | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator |
| version |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 1.0.0-update |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AL |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Auftragsnummer des Labors |
| 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 |
| identifier:overallLabReport |
SΣ | 1..1 | Identifier | Versionsunabhängiger konstanter Identifikator Laborgesamtbefund (UUID) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| 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 Slice: Unordered, Open by value:url | |
| coding |
Σ | 1..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: RI | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Resource Identifier | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| basedOn |
S | 1..1 | Reference(KBV_PR_MIO_LAB_ServiceRequest(1.0.0-update)) | What was requested |
| 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 |
| status |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: KBV_VS_MIO_LAB_Diagnostic_ReportStatus (1.0.0-update) (required) |
| code |
SΣ | 1..1 | CodeableConcept | Deklariert "Laborbefund" 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 | |
| coding |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| 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 |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 2.82 |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| subject |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) | Zu behandelnde Person |
| 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 |
ΣC | 0..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 |
SΣ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known |
| display |
Σ | 0..1 | string | Text alternative for the resource |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Fallbezug |
| issued |
SΣ | 1..1 | instant | Dokumentationszeitpunkt Laborgesamtbefund |
| performer |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) | Auftragnehmendes Labor |
| 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 |
| specimen |
S | 0..* | Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update)) | Specimens this report is based on |
| 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 |
| result |
S | 1..* | Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update)) | Observations |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:sortingNumberGroup |
S | 1..1 | (Complex) | Sortiernummer Untersuchungsgruppe URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number" | |
| value[x] |
S | 1..1 | positiveInt | Value of extension |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| media |
SΣ | 0..* | BackboneElement | Ergänzende Dokumente (zusätzlich zum strukturierten Teil des Laborbefundes) |
| 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 |
S | 0..1 | string | Freitext-Angaben zum ergänzenden Dokument |
| link |
SΣ | 1..1 | Reference(Media) | Reference to the image source |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:link |
S | 1..1 | (Complex) | Referenzierung auf ergänzende Dokumente URL: http://hl7.org/fhir/StructureDefinition/alternate-reference |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_DocumentReference(1.0.0-update)) | Value of extension |
| 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 |
| display |
SΣ | 1..1 | string | Text alternative for the resource Required Pattern: Media wird durch eine DocumentReference dargestellt, auf die in einer Extension verwiesen wird. |
| conclusion |
S | 0..1 | string | Beurteilung des Laborgesamtbefundes |
| presentedForm |
S | 0..* | Attachment | Kompletter Gesamtbefund als exportierbares Format |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required) Example General: text/plain; charset=UTF-8, image/png |
| data |
S | 1..1 | base64Binary | Data inline, base64ed |
| title |
SΣ | 1..1 | string | Label to display in place of the data Example General: Official Corporate Logo |
| creation |
SΣ | 0..1 | dateTime | Date attachment was first created |
| Documentation for this format | ||||
| 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.text.status | Base | required | NarrativeStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:secondaryStatus.value[x] | Base | required | Sekundärstatus Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.identifier:orderNumberLab.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier:overallLabReport.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | Status Gesamtbefund | 📍1.0.0-update | This IG |
| 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.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.contentType | Base | required | Dateiformat | 📍1.0.0-update | This IG |
| Id | Grade | Path(s) | Description | Expression |
| diag-status-1 | error | DiagnosticReport | A secondary status can only be provided if the diagnostic report status is either "partial" or "preliminary". |
status in ('registered'|'final'|'cancelled'|'entered-in-error') implies extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status').empty()
|
| 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()
|
| txt-1 | error | DiagnosticReport.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes |
htmlChecks()
|
| txt-2 | error | DiagnosticReport.text.div | The narrative SHALL have some non-whitespace content |
htmlChecks()
|
This structure is derived from DiagnosticReport
Summary
Mandatory: 26 elements(16 nested mandatory elements)
Must-Support: 70 elements
Prohibited: 43 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: diag-status-1 |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| versionId |
SΣ | 0..1 | id | Version specific identifier |
| lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Closed by value:url |
| extension:orderEntryTime |
S | 0..1 | (Complex) | Auftrageingangszeitpunkt im Labor URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time" | |
| value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:pseudonymizedReport |
S | 0..1 | (Complex) | Kennzeichnung, ob ein Laborbefund pseudonymisiert ist URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:criticalResult |
S | 0..1 | (Complex) | Manuell gesetztes Kennzeichen Kritischer Befund URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:secondaryStatus |
S | 0..3 | (Complex) | Änderungsstatus Laborbefund (Sekundärstatus) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status" | |
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_MIO_LAB_Secondary_Status (1.0.0-update) (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| extension:DiagnosticReportCompositionR5 |
S | 1..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Composition(1.0.0-update)) | Reference to a Composition resource for the DiagnosticReport structure |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣ | 1..2 | Identifier | Business identifier for report Slice: Unordered, Closed by value:type |
| identifier:orderNumberLab |
SΣ | 0..1 | Identifier | Auftragnummer des Labors |
| 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 |
SΣ | 1..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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator |
| version |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 1.0.0-update |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AL |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Auftragsnummer des Labors |
| 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 |
| identifier:overallLabReport |
SΣ | 1..1 | Identifier | Versionsunabhängiger konstanter Identifikator Laborgesamtbefund (UUID) |
| 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 |
Σ | 1..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: RI | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Resource Identifier | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| basedOn |
S | 1..1 | Reference(KBV_PR_MIO_LAB_ServiceRequest(1.0.0-update)) | What was requested |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| status |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: KBV_VS_MIO_LAB_Diagnostic_ReportStatus (1.0.0-update) (required) |
| code |
SΣ | 1..1 | CodeableConcept | Deklariert "Laborbefund" Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| coding |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 2.82 |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| subject |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) | Zu behandelnde Person |
| identifier |
SΣ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Fallbezug |
| issued |
SΣ | 1..1 | instant | Dokumentationszeitpunkt Laborgesamtbefund |
| performer |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) | Auftragnehmendes Labor |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| specimen |
S | 0..* | Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update)) | Specimens this report is based on |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| result |
S | 1..* | Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update)) | Observations |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:sortingNumberGroup |
S | 1..1 | (Complex) | Sortiernummer Untersuchungsgruppe URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number" | |
| value[x] |
S | 1..1 | positiveInt | Value of extension |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| media |
SΣ | 0..* | BackboneElement | Ergänzende Dokumente (zusätzlich zum strukturierten Teil des Laborbefundes) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| comment |
S | 0..1 | string | Freitext-Angaben zum ergänzenden Dokument |
| link |
SΣ | 1..1 | Reference(Media) | Reference to the image source |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:link |
S | 1..1 | (Complex) | Referenzierung auf ergänzende Dokumente URL: http://hl7.org/fhir/StructureDefinition/alternate-reference |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_DocumentReference(1.0.0-update)) | Value of extension |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| display |
SΣ | 1..1 | string | Text alternative for the resource Required Pattern: Media wird durch eine DocumentReference dargestellt, auf die in einer Extension verwiesen wird. |
| conclusion |
S | 0..1 | string | Beurteilung des Laborgesamtbefundes |
| presentedForm |
S | 0..* | Attachment | Kompletter Gesamtbefund als exportierbares Format |
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required) Example General: text/plain; charset=UTF-8, image/png |
| data |
S | 1..1 | base64Binary | Data inline, base64ed |
| title |
SΣ | 1..1 | string | Label to display in place of the data Example General: Official Corporate Logo |
| creation |
SΣ | 0..1 | dateTime | Date attachment was first created |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.extension:secondaryStatus.value[x] | Base | required | Sekundärstatus Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.identifier:orderNumberLab.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier:overallLabReport.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | Status Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.contentType | Base | required | Dateiformat | 📍1.0.0-update | This IG |
| Id | Grade | Path(s) | Description | Expression |
| diag-status-1 | error | DiagnosticReport | A secondary status can only be provided if the diagnostic report status is either "partial" or "preliminary". |
status in ('registered'|'final'|'cancelled'|'entered-in-error') implies extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status').empty()
|
| 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 |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: diag-status-1 |
| meta |
S | 0..1 | Meta | Metadata about the resource |
| id |
0..0 | Unique id for inter-element referencing | ||
| versionId |
S | 0..1 | id | Version specific identifier |
| lastUpdated |
S | 0..1 | instant | When the resource version last changed |
| source |
0..0 | Identifies where the resource comes from | ||
| implicitRules |
0..0 | A set of rules under which this content was created | ||
| language |
0..0 | Language of the resource content | ||
| text |
||||
| status |
1..1 | code | generated | extensions | additional | empty Required Pattern: extensions | |
| contained |
0..0 | Contained, inline Resources | ||
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Closed by value:url |
| extension:orderEntryTime |
S | 0..1 | (Complex) | Auftrageingangszeitpunkt im Labor URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time |
| value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:pseudonymizedReport |
S | 0..1 | (Complex) | Kennzeichnung, ob ein Laborbefund pseudonymisiert ist URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:criticalResult |
S | 0..1 | (Complex) | Manuell gesetztes Kennzeichen Kritischer Befund URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:secondaryStatus |
S | 0..3 | (Complex) | Änderungsstatus Laborbefund (Sekundärstatus) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status |
| value[x] |
S | 1..1 | Coding | Value of extension |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 0..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| extension:DiagnosticReportCompositionR5 |
S | 1..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition |
| extension |
0..0 | Extension | ||
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Composition(1.0.0-update)) | Reference to a Composition resource for the DiagnosticReport structure |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| Slices for identifier |
S | 1..2 | Identifier | Business identifier for report Slice: Unordered, Closed by value:type |
| identifier:orderNumberLab |
S | 0..1 | Identifier | Auftragnummer des Labors |
| use |
0..0 | usual | official | temp | secondary | old (If known) | ||
| type |
S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
| coding |
S | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator |
| version |
S | 1..1 | string | Version of the system - if relevant Fixed Value: 1.0.0-update |
| code |
S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AL |
| display |
S | 1..1 | string | Representation defined by the system Fixed Value: Auftragsnummer des Labors |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| text |
0..0 | Plain text representation of the concept | ||
| system |
S | 1..1 | uri | The namespace for the identifier value |
| value |
S | 1..1 | string | The value that is unique |
| period |
0..0 | Time period when id is/was valid for use | ||
| assigner |
0..0 | Organization that issued id (may be just text) | ||
| identifier:overallLabReport |
S | 1..1 | Identifier | Versionsunabhängiger konstanter Identifikator Laborgesamtbefund (UUID) |
| use |
0..0 | usual | official | temp | secondary | old (If known) | ||
| type |
S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
| coding |
1..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: RI | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Resource Identifier | |
| text |
0..0 | Plain text representation of the concept | ||
| system |
S | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
S | 1..1 | string | The value that is unique |
| period |
0..0 | Time period when id is/was valid for use | ||
| assigner |
0..0 | Organization that issued id (may be just text) | ||
| basedOn |
S | 1..1 | Reference(KBV_PR_MIO_LAB_ServiceRequest(1.0.0-update)) | What was requested |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| status |
S | 1..1 | code | registered | partial | preliminary | final + Binding: KBV_VS_MIO_LAB_Diagnostic_ReportStatus (1.0.0-update) (required) |
| category |
0..0 | Service category | ||
| code |
S | 1..1 | CodeableConcept | Deklariert "Laborbefund" |
| coding |
S | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version |
S | 1..1 | string | Version of the system - if relevant Fixed Value: 2.82 |
| code |
S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 |
| display |
S | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) | Zu behandelnde Person |
| identifier |
S | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known |
| encounter |
S | 0..1 | Reference(Encounter) | Fallbezug |
| effective[x] |
0..0 | Clinically relevant time/time-period for report | ||
| issued |
S | 1..1 | instant | Dokumentationszeitpunkt Laborgesamtbefund |
| performer |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) | Auftragnehmendes Labor |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| resultsInterpreter |
0..0 | Primary result interpreter | ||
| specimen |
S | 0..* | Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update)) | Specimens this report is based on |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| result |
S | 1..* | Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update)) | Observations |
| extension |
S | 1..* | Extension | Extension |
| Slices for extension |
Content/Rules for all slices | |||
| extension:sortingNumberGroup |
S | 1..1 | (Complex) | Sortiernummer Untersuchungsgruppe URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number |
| value[x] |
S | 1..1 | positiveInt | Value of extension |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| imagingStudy |
0..0 | Reference to full details of imaging associated with the diagnostic report | ||
| media |
S | 0..* | BackboneElement | Ergänzende Dokumente (zusätzlich zum strukturierten Teil des Laborbefundes) |
| comment |
S | 0..1 | string | Freitext-Angaben zum ergänzenden Dokument |
| link |
S | 1..1 | Reference(Media) | Reference to the image source |
| extension |
S | 1..* | Extension | Extension |
| Slices for extension |
Content/Rules for all slices | |||
| extension:link |
S | 1..1 | (Complex) | Referenzierung auf ergänzende Dokumente URL: http://hl7.org/fhir/StructureDefinition/alternate-reference |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_DocumentReference(1.0.0-update)) | Value of extension |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
S | 1..1 | string | Text alternative for the resource Required Pattern: Media wird durch eine DocumentReference dargestellt, auf die in einer Extension verwiesen wird. |
| conclusion |
S | 0..1 | string | Beurteilung des Laborgesamtbefundes |
| conclusionCode |
0..0 | Codes for the clinical conclusion of test results | ||
| presentedForm |
S | 0..* | Attachment | Kompletter Gesamtbefund als exportierbares Format |
| contentType |
S | 1..1 | code | Mime type of the content, with charset etc. Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required) |
| language |
0..0 | Human language of the content (BCP-47) | ||
| data |
S | 1..1 | base64Binary | Data inline, base64ed |
| url |
0..0 | Uri where the data can be found | ||
| size |
0..0 | Number of bytes of content (if url provided) | ||
| hash |
0..0 | Hash of the data (sha-1, base64ed) | ||
| title |
S | 1..1 | string | Label to display in place of the data |
| creation |
S | 0..1 | dateTime | Date attachment was first created |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | Status Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.presentedForm.contentType | Base | required | Dateiformat | 📍1.0.0-update | This IG |
| Id | Grade | Path(s) | Description | Expression |
| diag-status-1 | error | DiagnosticReport | A secondary status can only be provided if the diagnostic report status is either "partial" or "preliminary". |
status in ('registered'|'final'|'cancelled'|'entered-in-error') implies extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status').empty()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: diag-status-1 |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| versionId |
SΣ | 0..1 | id | Version specific identifier |
| lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed |
| profile |
Σ | 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". |
| 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 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| status |
1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: extensions | |
| div |
C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2 |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Closed by value:url |
| extension:orderEntryTime |
S | 0..1 | (Complex) | Auftrageingangszeitpunkt im Labor URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Order_Entry_Time" | |
| value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:pseudonymizedReport |
S | 0..1 | (Complex) | Kennzeichnung, ob ein Laborbefund pseudonymisiert ist URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Pseudonymized_Report" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:criticalResult |
S | 0..1 | (Complex) | Manuell gesetztes Kennzeichen Kritischer Befund URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Critical_Result" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:secondaryStatus |
S | 0..3 | (Complex) | Änderungsstatus Laborbefund (Sekundärstatus) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status" | |
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_MIO_LAB_Secondary_Status (1.0.0-update) (required) |
| 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 |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| extension:DiagnosticReportCompositionR5 |
S | 1..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_Composition(1.0.0-update)) | Reference to a Composition resource for the DiagnosticReport structure |
| 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 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣ | 1..2 | Identifier | Business identifier for report Slice: Unordered, Closed by value:type |
| identifier:orderNumberLab |
SΣ | 0..1 | Identifier | Auftragnummer des Labors |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| 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 Slice: Unordered, Open by value:url | |
| coding |
SΣ | 1..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 Slice: Unordered, Open by value:url | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator |
| version |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 1.0.0-update |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AL |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Auftragsnummer des Labors |
| 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 |
| identifier:overallLabReport |
SΣ | 1..1 | Identifier | Versionsunabhängiger konstanter Identifikator Laborgesamtbefund (UUID) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| 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 Slice: Unordered, Open by value:url | |
| coding |
Σ | 1..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: RI | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Resource Identifier | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| basedOn |
S | 1..1 | Reference(KBV_PR_MIO_LAB_ServiceRequest(1.0.0-update)) | What was requested |
| 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 |
| status |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: KBV_VS_MIO_LAB_Diagnostic_ReportStatus (1.0.0-update) (required) |
| code |
SΣ | 1..1 | CodeableConcept | Deklariert "Laborbefund" 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 | |
| coding |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| 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 |
SΣ | 1..1 | string | Version of the system - if relevant Fixed Value: 2.82 |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11502-2 |
| display |
SΣ | 1..1 | string | Representation defined by the system Fixed Value: Laboratory report |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| subject |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) | Zu behandelnde Person |
| 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 |
ΣC | 0..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 |
SΣ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known |
| display |
Σ | 0..1 | string | Text alternative for the resource |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Fallbezug |
| issued |
SΣ | 1..1 | instant | Dokumentationszeitpunkt Laborgesamtbefund |
| performer |
SΣ | 1..1 | Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) | Auftragnehmendes Labor |
| 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 |
| specimen |
S | 0..* | Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update)) | Specimens this report is based on |
| 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 |
| result |
S | 1..* | Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update)) | Observations |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:sortingNumberGroup |
S | 1..1 | (Complex) | Sortiernummer Untersuchungsgruppe URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number" | |
| value[x] |
S | 1..1 | positiveInt | Value of extension |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| media |
SΣ | 0..* | BackboneElement | Ergänzende Dokumente (zusätzlich zum strukturierten Teil des Laborbefundes) |
| 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 |
S | 0..1 | string | Freitext-Angaben zum ergänzenden Dokument |
| link |
SΣ | 1..1 | Reference(Media) | Reference to the image source |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension:link |
S | 1..1 | (Complex) | Referenzierung auf ergänzende Dokumente URL: http://hl7.org/fhir/StructureDefinition/alternate-reference |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference" | |
| value[x] |
S | 1..1 | Reference(KBV_PR_MIO_LAB_DocumentReference(1.0.0-update)) | Value of extension |
| 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 |
| display |
SΣ | 1..1 | string | Text alternative for the resource Required Pattern: Media wird durch eine DocumentReference dargestellt, auf die in einer Extension verwiesen wird. |
| conclusion |
S | 0..1 | string | Beurteilung des Laborgesamtbefundes |
| presentedForm |
S | 0..* | Attachment | Kompletter Gesamtbefund als exportierbares Format |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required) Example General: text/plain; charset=UTF-8, image/png |
| data |
S | 1..1 | base64Binary | Data inline, base64ed |
| title |
SΣ | 1..1 | string | Label to display in place of the data Example General: Official Corporate Logo |
| creation |
SΣ | 0..1 | dateTime | Date attachment was first created |
| Documentation for this format | ||||
| 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.text.status | Base | required | NarrativeStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:secondaryStatus.value[x] | Base | required | Sekundärstatus Gesamtbefund | 📍1.0.0-update | This IG |
| DiagnosticReport.identifier:orderNumberLab.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.identifier:overallLabReport.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | Status Gesamtbefund | 📍1.0.0-update | This IG |
| 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.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.contentType | Base | required | Dateiformat | 📍1.0.0-update | This IG |
| Id | Grade | Path(s) | Description | Expression |
| diag-status-1 | error | DiagnosticReport | A secondary status can only be provided if the diagnostic report status is either "partial" or "preliminary". |
status in ('registered'|'final'|'cancelled'|'entered-in-error') implies extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Secondary_Status').empty()
|
| 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()
|
| txt-1 | error | DiagnosticReport.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes |
htmlChecks()
|
| txt-2 | error | DiagnosticReport.text.div | The narrative SHALL have some non-whitespace content |
htmlChecks()
|
This structure is derived from DiagnosticReport
Summary
Mandatory: 26 elements(16 nested mandatory elements)
Must-Support: 70 elements
Prohibited: 43 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron