ePA Laboratory Report Implementation Guide
Version 1.0.0-ballot.1 - ballot

Ressourcenprofil: Diagnostic Report dgLP

Offizielle URL: https://gematik.de/fhir/epa-laboratory/StructureDefinition/diagnostic-report-dglp Version: 1.0.0
Active Stand: 2026-09-30 Maschinenlesbarer Name: DiagnosticReportdgLP

Copyright/Rechtliches: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

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

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReportLabEu Laboratory Report DiagnosticReport
Constraints: diag-status-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... 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(Composition dgLP) Reference to a Composition resource for the DiagnosticReport structure
...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... extension:note S 0..1 (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
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.note"
..... value[x] S 1..1 Annotation Comments about the diagnostic report
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: Hl7VSCommentType (3.0.0) (example)
...... text SΣ 1..1 markdown The annotation - text content (as markdown)
.... extension:orderEntryTime S 0..1 (Complex) Auftrageingangszeitpunkt im Labor
URL: https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension"
..... value[x] S 1..1 dateTime Value of extension
.... extension:pseudonymizedReport S 0..1 (Complex) Kennzeichnung, ob ein Laborbefund pseudonymisiert ist
URL: https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:criticalResult S 0..1 (Complex) Manuell gesetztes Kennzeichen Kritischer Befund
URL: https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:secondaryStatus S 0..3 (Complex) Änderungsstatus Laborbefund (Sekundärstatus)
URL: https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension"
..... value[x] S 1..1 Coding Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/secondary-status (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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:orderNumberLab SΣ 0..1 Identifier Auftragnummer des Labors
..... type Σ 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://gematik.de/fhir/terminology/CodeSystem/laboratory-identificator
....... version SΣ 1..1 string Version of the system - if relevant
....... 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 0..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 Σ 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: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 0..1 string Version of the system - if relevant
Fixed Value: 5.0.0
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Resource Identifier
..... 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(Service Request dgLP) Referenz Laborauftrag-Information
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... status ?!SΣ 1..1 code Bearbeitungsstatus Laborbefund (Hauptstatus)
Binding: https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status (required)
... code SΣ 1..1 CodeableConcept Deklariert "Laborbefund"
Binding: Laboratory Report Types (preferred)
.... 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(TI Patient) Who and/or what this report is about
.... 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
... Slices for performer SΣ 0..* Reference(TI Organization | TI Practitioner | TI PractitionerRole) Auftragnehmendes Labor
Slice: Unordered, Open by profile:$this
.... performer:All Slices Content/Rules for all slices
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... specimen S 0..* Reference(Specimen dgLP) Specimens this report is based on.
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... result S 1..* Reference(Observation Laboratory Study Group dgLP | Observation Image Attachment dgLP) results
.... Slices for extension S 1..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sortingNumberGroup S 1..1 (Complex) Sortiernummer Untersuchungsgruppe
URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
...... 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 or data
..... 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(Document Reference dgLP) Value of extension
........ reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... display SΣ 1..1 string Text stating use of cross-version extension 'link'
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 1..* Attachment Kompletter Gesamtbefund als exportierbares Format
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: application/pdf
.... 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 1..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📍3.0.0 THO v7.3
DiagnosticReport.extension:secondaryStatus.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/secondary-status Not State Unknown
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 https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status Not State Unknown
DiagnosticReport.code Base preferred Laboratory Report Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

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'|'amended'|'corrected'|'appended'|'cancelled'|'entered-in-error'|'unknown') implies extension('https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension').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()

Diese Struktur ist abgeleitet von DiagnosticReportLabEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReportLabEu Laboratory Report DiagnosticReport
Constraints: diag-status-1
... extension S 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:DiagnosticReportCompositionR5 S 1..1 R5 DiagnosticReport.composition R5: Reference to a Composition resource for the DiagnosticReport structure (new)
..... value[x] S 1..1 Reference(Composition dgLP) 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
.... extension:note S 0..1 R5 DiagnosticReport.note R5: Comments about the diagnostic report (new)
..... value[x] S 1..1 Annotation Comments about the diagnostic report
...... author[x] 0..0 Individual responsible for the annotation
...... time 0..0 When the annotation was made
...... text S 1..1 markdown The annotation - text content (as markdown)
.... extension:orderEntryTime S 0..1 (Complex) Auftrageingangszeitpunkt im Labor
URL: https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension
..... value[x] S 1..1 dateTime Value of extension
.... extension:pseudonymizedReport S 0..1 (Complex) Kennzeichnung, ob ein Laborbefund pseudonymisiert ist
URL: https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension
..... value[x] S 1..1 boolean Value of extension
.... extension:criticalResult S 0..1 (Complex) Manuell gesetztes Kennzeichen Kritischer Befund
URL: https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension
..... value[x] S 1..1 boolean Value of extension
.... extension:secondaryStatus S 0..3 (Complex) Änderungsstatus Laborbefund (Sekundärstatus)
URL: https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension
..... 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
...... userSelected 0..0 If this coding was chosen directly by the user
... 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 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://gematik.de/fhir/terminology/CodeSystem/laboratory-identificator
....... version S 1..1 string Version of the system - if relevant
....... 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 0..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 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: http://terminology.hl7.org/CodeSystem/v2-0203
....... version S 0..1 string Version of the system - if relevant
Fixed Value: 5.0.0
....... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display S 1..1 string Representation defined by the system
Fixed Value: Resource Identifier
....... 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
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)
.... 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 Bearbeitungsstatus Laborbefund (Hauptstatus)
Binding: https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status (required)
... category 0..0 Report Category
... Slices for category Content/Rules for all slices
.... category:studyType 0..0 The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
.... category:specialty 0..0 The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
... 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(TI Patient) Who and/or what this report is about
.... 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.
... Slices for effective[x] Content/Rules for all slices
.... effective[x]:effectivePeriod 0..0 Effective period of the report
... issued S 1..1 instant Dokumentationszeitpunkt Laborgesamtbefund
... performer S 0..* Reference(TI Organization | TI Practitioner | TI PractitionerRole) Auftragnehmendes Labor
.... 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 performer Content/Rules for all slices
.... performer:organization 0..0 The organization producer of this report
... resultsInterpreter 0..0 Primary result interpreter
... Slices for resultsInterpreter Content/Rules for all slices
.... resultsInterpreter:author 0..0 Primary result interpreter
... specimen S 0..* Reference(Specimen dgLP) 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(Observation Laboratory Study Group dgLP | Observation Image Attachment dgLP) results
.... Slices for extension S 1..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sortingNumberGroup S 1..1 (Complex) Sortiernummer Untersuchungsgruppe
URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
...... 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
... 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 or data
..... extension S 1..* Extension Extension
..... Slices for extension Content/Rules for all slices
...... extension:link S 1..1 AlternateReference(5.3.0) Referenzierung auf ergänzende Dokumente
....... value[x] S 1..1 Reference(Document Reference dgLP) 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
..... display S 1..1 string Text stating use of cross-version extension 'link'
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 1..* Attachment Kompletter Gesamtbefund als exportierbares Format
.... contentType S 1..1 code Mime type of the content, with charset etc.
Required Pattern: application/pdf
.... 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 1..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status Not State Unknown

Constraints

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'|'amended'|'corrected'|'appended'|'cancelled'|'entered-in-error'|'unknown') implies extension('https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension').empty()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReportLabEu Laboratory Report DiagnosticReport
Constraints: diag-status-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... 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(Composition dgLP) 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
.... extension:note S 0..1 (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
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.note"
..... value[x] S 1..1 Annotation Comments about the diagnostic report
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id 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/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: Hl7VSCommentType (3.0.0) (example)
...... text SΣ 1..1 markdown The annotation - text content (as markdown)
.... extension:orderEntryTime S 0..1 (Complex) Auftrageingangszeitpunkt im Labor
URL: https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension"
..... value[x] S 1..1 dateTime Value of extension
.... extension:pseudonymizedReport S 0..1 (Complex) Kennzeichnung, ob ein Laborbefund pseudonymisiert ist
URL: https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:criticalResult S 0..1 (Complex) Manuell gesetztes Kennzeichen Kritischer Befund
URL: https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/critical-result-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:secondaryStatus S 0..3 (Complex) Änderungsstatus Laborbefund (Sekundärstatus)
URL: https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension"
..... value[x] S 1..1 Coding Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/secondary-status (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
... 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 Σ 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://gematik.de/fhir/terminology/CodeSystem/laboratory-identificator
....... version SΣ 1..1 string Version of the system - if relevant
....... 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 0..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 Σ 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: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 0..1 string Version of the system - if relevant
Fixed Value: 5.0.0
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Resource Identifier
..... 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(Service Request dgLP) Referenz Laborauftrag-Information
.... 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 Bearbeitungsstatus Laborbefund (Hauptstatus)
Binding: https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status (required)
... code SΣ 1..1 CodeableConcept Deklariert "Laborbefund"
Binding: Laboratory Report Types (preferred)
.... 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(TI Patient) Who and/or what this report is about
.... 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
... Slices for performer SΣ 0..* Reference(TI Organization | TI Practitioner | TI PractitionerRole) Auftragnehmendes Labor
Slice: Unordered, Open by profile:$this
.... performer:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... specimen S 0..* Reference(Specimen dgLP) 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(Observation Laboratory Study Group dgLP | Observation Image Attachment dgLP) results
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension S 1..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sortingNumberGroup S 1..1 (Complex) Sortiernummer Untersuchungsgruppe
URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
...... 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://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
...... 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 or data
..... 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 id 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(Document Reference dgLP) 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 stating use of cross-version extension 'link'
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 1..* 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: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: application/pdf
.... 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 1..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📍3.0.0 THO v7.3
DiagnosticReport.extension:secondaryStatus.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/secondary-status Not State Unknown
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 https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status Not State Unknown
DiagnosticReport.code Base preferred Laboratory Report Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

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'|'amended'|'corrected'|'appended'|'cancelled'|'entered-in-error'|'unknown') implies extension('https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension').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()

Diese Struktur ist abgeleitet von DiagnosticReportLabEu

Summary

Mandatory: 28 elements(13 nested mandatory elements)
Must-Support: 73 elements
Prohibited: 45 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.identifier (Closed)

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReportLabEu Laboratory Report DiagnosticReport
Constraints: diag-status-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... 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(Composition dgLP) Reference to a Composition resource for the DiagnosticReport structure
...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... extension:note S 0..1 (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
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.note"
..... value[x] S 1..1 Annotation Comments about the diagnostic report
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: Hl7VSCommentType (3.0.0) (example)
...... text SΣ 1..1 markdown The annotation - text content (as markdown)
.... extension:orderEntryTime S 0..1 (Complex) Auftrageingangszeitpunkt im Labor
URL: https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension"
..... value[x] S 1..1 dateTime Value of extension
.... extension:pseudonymizedReport S 0..1 (Complex) Kennzeichnung, ob ein Laborbefund pseudonymisiert ist
URL: https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:criticalResult S 0..1 (Complex) Manuell gesetztes Kennzeichen Kritischer Befund
URL: https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:secondaryStatus S 0..3 (Complex) Änderungsstatus Laborbefund (Sekundärstatus)
URL: https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension"
..... value[x] S 1..1 Coding Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/secondary-status (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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:orderNumberLab SΣ 0..1 Identifier Auftragnummer des Labors
..... type Σ 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://gematik.de/fhir/terminology/CodeSystem/laboratory-identificator
....... version SΣ 1..1 string Version of the system - if relevant
....... 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 0..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 Σ 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: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 0..1 string Version of the system - if relevant
Fixed Value: 5.0.0
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Resource Identifier
..... 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(Service Request dgLP) Referenz Laborauftrag-Information
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... status ?!SΣ 1..1 code Bearbeitungsstatus Laborbefund (Hauptstatus)
Binding: https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status (required)
... code SΣ 1..1 CodeableConcept Deklariert "Laborbefund"
Binding: Laboratory Report Types (preferred)
.... 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(TI Patient) Who and/or what this report is about
.... 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
... Slices for performer SΣ 0..* Reference(TI Organization | TI Practitioner | TI PractitionerRole) Auftragnehmendes Labor
Slice: Unordered, Open by profile:$this
.... performer:All Slices Content/Rules for all slices
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... specimen S 0..* Reference(Specimen dgLP) Specimens this report is based on.
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... result S 1..* Reference(Observation Laboratory Study Group dgLP | Observation Image Attachment dgLP) results
.... Slices for extension S 1..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sortingNumberGroup S 1..1 (Complex) Sortiernummer Untersuchungsgruppe
URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
...... 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 or data
..... 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(Document Reference dgLP) Value of extension
........ reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... display SΣ 1..1 string Text stating use of cross-version extension 'link'
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 1..* Attachment Kompletter Gesamtbefund als exportierbares Format
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: application/pdf
.... 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 1..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📍3.0.0 THO v7.3
DiagnosticReport.extension:secondaryStatus.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/secondary-status Not State Unknown
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 https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status Not State Unknown
DiagnosticReport.code Base preferred Laboratory Report Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

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'|'amended'|'corrected'|'appended'|'cancelled'|'entered-in-error'|'unknown') implies extension('https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension').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-Ansicht

Diese Struktur ist abgeleitet von DiagnosticReportLabEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReportLabEu Laboratory Report DiagnosticReport
Constraints: diag-status-1
... extension S 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:DiagnosticReportCompositionR5 S 1..1 R5 DiagnosticReport.composition R5: Reference to a Composition resource for the DiagnosticReport structure (new)
..... value[x] S 1..1 Reference(Composition dgLP) 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
.... extension:note S 0..1 R5 DiagnosticReport.note R5: Comments about the diagnostic report (new)
..... value[x] S 1..1 Annotation Comments about the diagnostic report
...... author[x] 0..0 Individual responsible for the annotation
...... time 0..0 When the annotation was made
...... text S 1..1 markdown The annotation - text content (as markdown)
.... extension:orderEntryTime S 0..1 (Complex) Auftrageingangszeitpunkt im Labor
URL: https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension
..... value[x] S 1..1 dateTime Value of extension
.... extension:pseudonymizedReport S 0..1 (Complex) Kennzeichnung, ob ein Laborbefund pseudonymisiert ist
URL: https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension
..... value[x] S 1..1 boolean Value of extension
.... extension:criticalResult S 0..1 (Complex) Manuell gesetztes Kennzeichen Kritischer Befund
URL: https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension
..... value[x] S 1..1 boolean Value of extension
.... extension:secondaryStatus S 0..3 (Complex) Änderungsstatus Laborbefund (Sekundärstatus)
URL: https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension
..... 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
...... userSelected 0..0 If this coding was chosen directly by the user
... 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 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://gematik.de/fhir/terminology/CodeSystem/laboratory-identificator
....... version S 1..1 string Version of the system - if relevant
....... 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 0..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 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: http://terminology.hl7.org/CodeSystem/v2-0203
....... version S 0..1 string Version of the system - if relevant
Fixed Value: 5.0.0
....... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display S 1..1 string Representation defined by the system
Fixed Value: Resource Identifier
....... 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
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)
.... 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 Bearbeitungsstatus Laborbefund (Hauptstatus)
Binding: https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status (required)
... category 0..0 Report Category
... Slices for category Content/Rules for all slices
.... category:studyType 0..0 The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
.... category:specialty 0..0 The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
... 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(TI Patient) Who and/or what this report is about
.... 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.
... Slices for effective[x] Content/Rules for all slices
.... effective[x]:effectivePeriod 0..0 Effective period of the report
... issued S 1..1 instant Dokumentationszeitpunkt Laborgesamtbefund
... performer S 0..* Reference(TI Organization | TI Practitioner | TI PractitionerRole) Auftragnehmendes Labor
.... 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 performer Content/Rules for all slices
.... performer:organization 0..0 The organization producer of this report
... resultsInterpreter 0..0 Primary result interpreter
... Slices for resultsInterpreter Content/Rules for all slices
.... resultsInterpreter:author 0..0 Primary result interpreter
... specimen S 0..* Reference(Specimen dgLP) 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(Observation Laboratory Study Group dgLP | Observation Image Attachment dgLP) results
.... Slices for extension S 1..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sortingNumberGroup S 1..1 (Complex) Sortiernummer Untersuchungsgruppe
URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
...... 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
... 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 or data
..... extension S 1..* Extension Extension
..... Slices for extension Content/Rules for all slices
...... extension:link S 1..1 AlternateReference(5.3.0) Referenzierung auf ergänzende Dokumente
....... value[x] S 1..1 Reference(Document Reference dgLP) 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
..... display S 1..1 string Text stating use of cross-version extension 'link'
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 1..* Attachment Kompletter Gesamtbefund als exportierbares Format
.... contentType S 1..1 code Mime type of the content, with charset etc.
Required Pattern: application/pdf
.... 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 1..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status Not State Unknown

Constraints

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'|'amended'|'corrected'|'appended'|'cancelled'|'entered-in-error'|'unknown') implies extension('https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension').empty()

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReportLabEu Laboratory Report DiagnosticReport
Constraints: diag-status-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... 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(Composition dgLP) 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
.... extension:note S 0..1 (Complex) R5: Comments about the diagnostic report (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
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.note"
..... value[x] S 1..1 Annotation Comments about the diagnostic report
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id 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/annotationType"
........ value[x] 1..1 CodeableConcept Type of note
Binding: Hl7VSCommentType (3.0.0) (example)
...... text SΣ 1..1 markdown The annotation - text content (as markdown)
.... extension:orderEntryTime S 0..1 (Complex) Auftrageingangszeitpunkt im Labor
URL: https://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/order-entry-time-extension"
..... value[x] S 1..1 dateTime Value of extension
.... extension:pseudonymizedReport S 0..1 (Complex) Kennzeichnung, ob ein Laborbefund pseudonymisiert ist
URL: https://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/pseudonymized-report-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:criticalResult S 0..1 (Complex) Manuell gesetztes Kennzeichen Kritischer Befund
URL: https://gematik.de/fhir/ti/StructureDefinition/critical-result-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/critical-result-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:secondaryStatus S 0..3 (Complex) Änderungsstatus Laborbefund (Sekundärstatus)
URL: https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension
..... 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://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension"
..... value[x] S 1..1 Coding Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/secondary-status (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
... 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 Σ 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://gematik.de/fhir/terminology/CodeSystem/laboratory-identificator
....... version SΣ 1..1 string Version of the system - if relevant
....... 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 0..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 Σ 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: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 0..1 string Version of the system - if relevant
Fixed Value: 5.0.0
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Resource Identifier
..... 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(Service Request dgLP) Referenz Laborauftrag-Information
.... 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 Bearbeitungsstatus Laborbefund (Hauptstatus)
Binding: https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status (required)
... code SΣ 1..1 CodeableConcept Deklariert "Laborbefund"
Binding: Laboratory Report Types (preferred)
.... 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(TI Patient) Who and/or what this report is about
.... 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
... Slices for performer SΣ 0..* Reference(TI Organization | TI Practitioner | TI PractitionerRole) Auftragnehmendes Labor
Slice: Unordered, Open by profile:$this
.... performer:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... specimen S 0..* Reference(Specimen dgLP) 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(Observation Laboratory Study Group dgLP | Observation Image Attachment dgLP) results
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension S 1..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sortingNumberGroup S 1..1 (Complex) Sortiernummer Untersuchungsgruppe
URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
...... 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://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
...... 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 or data
..... 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 id 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(Document Reference dgLP) 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 stating use of cross-version extension 'link'
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 1..* 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: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: application/pdf
.... 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 1..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📍3.0.0 THO v7.3
DiagnosticReport.extension:secondaryStatus.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/secondary-status Not State Unknown
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 https://gematik.de/fhir/terminology/ValueSet/diagnostic-report-status Not State Unknown
DiagnosticReport.code Base preferred Laboratory Report Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

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'|'amended'|'corrected'|'appended'|'cancelled'|'entered-in-error'|'unknown') implies extension('https://gematik.de/fhir/ti/StructureDefinition/secondary-status-extension').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()

Diese Struktur ist abgeleitet von DiagnosticReportLabEu

Summary

Mandatory: 28 elements(13 nested mandatory elements)
Must-Support: 73 elements
Prohibited: 45 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.identifier (Closed)

 

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