NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-lab-report | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreLabReport | ||||
Sets minimum expectations for representing a laboratory diagnostic report in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| |||||||||
  Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
   category:lab |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |||||||||
  id |
0..1 | string | Unique id for inter-element referencing | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Laboratory | |||||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
 text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (extensible)
| |||||||||
 subject |
1..1 | Reference(NP Core Patient) | The subject of the report - usually, but not always, the patient
| |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Health care event when test ordered
| |||||||||
| issued |
1..1 | instant | DateTime this version was made
| |||||||||
| performer |
1..* | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | CareTeam) | Responsible Diagnostic Service
| |||||||||
| specimen |
0..* | Reference(NP Core Specimen) | Specimens this report is based on
| |||||||||
| result |
1..* | Reference(NP Core Laboratory Result Observation | NP Core Laboratory Panel Observation) | Observations
| |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| DiagnosticReport |
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| status |
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| Slices for category |
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| code |
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| subject |
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| encounter |
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| issued |
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| performer |
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| specimen |
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| result |
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| conclusion |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:lab | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | extensible | LOINC Diagnostic Report Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
 status |
1..1 | code | registered | partial | preliminary | final +
| |||||||||
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| category:lab |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |||||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Laboratory | |||||||||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (extensible)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient) | The subject of the report - usually, but not always, the patient
| |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Health care event when test ordered
| |||||||||
| issued |
1..1 | instant | DateTime this version was made
| |||||||||
| performer |
1..* | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | CareTeam) | Responsible Diagnostic Service
| |||||||||
| specimen |
0..* | Reference(NP Core Specimen) | Specimens this report is based on
| |||||||||
| result |
1..* | Reference(NP Core Laboratory Result Observation | NP Core Laboratory Panel Observation) | Observations
| |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| DiagnosticReport |
|||
| status |
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| Slices for category |
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| code |
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| subject |
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| encounter |
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| issued |
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| performer |
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| specimen |
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| result |
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| conclusion |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code | Base | extensible | LOINC Diagnostic Report Codes | 📦4.0.1 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business identifier for report | |||||||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| |||||||||
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| category:lab |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Laboratory | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (extensible)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient) | The subject of the report - usually, but not always, the patient
| |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Health care event when test ordered
| |||||||||
 effective[x] |
0..1 | Clinically relevant time/time-period for report | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| issued |
1..1 | instant | DateTime this version was made
| |||||||||
| performer |
1..* | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | CareTeam) | Responsible Diagnostic Service
| |||||||||
| resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||||||
| specimen |
0..* | Reference(NP Core Specimen) | Specimens this report is based on
| |||||||||
| result |
1..* | Reference(NP Core Laboratory Result Observation | NP Core Laboratory Panel Observation) | Observations
| |||||||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||
| media |
0..* | BackboneElement | Key images associated with this report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||||||
| link |
1..1 | Reference(Media) | Reference to the image source | |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results
| |||||||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| DiagnosticReport |
|||
| status |
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| Slices for category |
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| code |
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| subject |
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| encounter |
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| issued |
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| performer |
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| specimen |
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| result |
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| conclusion |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:lab | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | extensible | LOINC Diagnostic Report Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| DiagnosticReport |
|||
| status |
|
|
|
| Slices for category |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
|
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| issued |
|
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|
| performer |
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| specimen |
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|
| result |
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| conclusion |
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|
| Documentation for this format | |||
This structure is derived from DiagnosticReport
Summary
Mandatory: 7 elements
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| |||||||||
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| category:lab |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Laboratory | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (extensible)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient) | The subject of the report - usually, but not always, the patient
| |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Health care event when test ordered
| |||||||||
| issued |
1..1 | instant | DateTime this version was made
| |||||||||
| performer |
1..* | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | CareTeam) | Responsible Diagnostic Service
| |||||||||
| specimen |
0..* | Reference(NP Core Specimen) | Specimens this report is based on
| |||||||||
| result |
1..* | Reference(NP Core Laboratory Result Observation | NP Core Laboratory Panel Observation) | Observations
| |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| DiagnosticReport |
|||
| status |
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|
| Slices for category |
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| code |
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| subject |
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| encounter |
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| issued |
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| performer |
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| specimen |
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| result |
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| conclusion |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:lab | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | extensible | LOINC Diagnostic Report Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| status |
1..1 | code | registered | partial | preliminary | final +
| |||||||||
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| category:lab |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Laboratory | |||||||||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (extensible)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient) | The subject of the report - usually, but not always, the patient
| |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Health care event when test ordered
| |||||||||
| issued |
1..1 | instant | DateTime this version was made
| |||||||||
| performer |
1..* | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | CareTeam) | Responsible Diagnostic Service
| |||||||||
| specimen |
0..* | Reference(NP Core Specimen) | Specimens this report is based on
| |||||||||
| result |
1..* | Reference(NP Core Laboratory Result Observation | NP Core Laboratory Panel Observation) | Observations
| |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| DiagnosticReport |
|||
| status |
|
|
|
| Slices for category |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| issued |
|
|
|
| performer |
|
|
|
| specimen |
|
|
|
| result |
|
|
|
| conclusion |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code | Base | extensible | LOINC Diagnostic Report Codes | 📦4.0.1 | FHIR Std. |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business identifier for report | |||||||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
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| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| category:lab |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Laboratory | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (extensible)
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| subject |
1..1 | Reference(NP Core Patient) | The subject of the report - usually, but not always, the patient
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| encounter |
1..1 | Reference(NP Core Encounter) | Health care event when test ordered
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| effective[x] |
0..1 | Clinically relevant time/time-period for report | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| issued |
1..1 | instant | DateTime this version was made
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| performer |
1..* | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | CareTeam) | Responsible Diagnostic Service
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| resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||||||
| specimen |
0..* | Reference(NP Core Specimen) | Specimens this report is based on
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| result |
1..* | Reference(NP Core Laboratory Result Observation | NP Core Laboratory Panel Observation) | Observations
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| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||
| media |
0..* | BackboneElement | Key images associated with this report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||||||
| link |
1..1 | Reference(Media) | Reference to the image source | |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results
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| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
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| DiagnosticReport |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:lab | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | extensible | LOINC Diagnostic Report Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
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| 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()
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| 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()
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| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
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| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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| Name | NP Core Server | NP Core Consumer | NP Core Creator |
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| DiagnosticReport |
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| code |
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| encounter |
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| issued |
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| performer |
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| specimen |
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| conclusion |
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| Documentation for this format | |||
This structure is derived from DiagnosticReport
Summary
Mandatory: 7 elements
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron