CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Daily Event Diagnostic Report - Lab Result

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-diagnosticreport-lab Version: 3.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: AcuteCareHospitalDailyEventLabDiagnosticReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.1002.42.1

This profile contains Required and Must Support data elements for reporting diagnostic report lab information for the NHSN Acute Care Hospital (ACH) Daily dQM. This profile inherits from the QI-Core 6.0.0 DiagnosticReport Profile for Laboratory Results Reporting profile, which inherits from the US Core 6.1.0 DiagnosticReport Profile for Laboratory Results Reporting profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    Name Flags Card. Type Description & Constraints    Filter: doco
    DiagnosticReport C 0..* QICoreDiagnosticReportLab(6.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    Constraints: us-core-8, us-core-9
    DiagnosticReport.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code
    (NHSN-MS)
    final | registered | preliminary | partial
    Binding: ACH Daily Diagnostic Report Status ValueSet (required)
    DiagnosticReport.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of diagnostic report
    Slice: Unordered, Open by pattern:$this
    Binding: DiagnosticServiceSectionCodes (preferred): 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
    DiagnosticReport.Slices for category.category:LaboratorySlice This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Service category
    Binding: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.

    Required Pattern: 
    {
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "LAB"
    }
  ]
}
    DiagnosticReport.Slices for category.category:LaboratorySlice.coding This element must be supported. This element is included in summaries. 1..* Coding
    (NHSN-MS)
    Code defined by a terminology system
    DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) US Core Laboratory Report Order Code
    Binding: US Core Laboratory Test Codes (extensible): LOINC codes
    DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
    DiagnosticReport.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Health care event when test ordered
    DiagnosticReport.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. C 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)
    DiagnosticReport.effective[x].effectiveDateTime dateTime This target must be supported.
    DiagnosticReport.effective[x].effectivePeriod Period
    DiagnosticReport.issued This element must be supported. This element is included in summaries. C 0..1 instant
    (NHSN-MS)
    (QI-Core) (USCDI) When the report was released
    DiagnosticReport.performer This element must be supported. This element is included in summaries. 0..* Reference(QICore Practitioner | QICore PractitionerRole | QICore Organization) (QI-Core)(USCDI) Responsible Diagnostic Service
    DiagnosticReport.specimen This element must be supported. 0..* Reference(ACH Daily Event Specimen) {b}
    (NHSN-MS)
    Specimens this report is based on
    DiagnosticReport.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.result This element must be supported. 0..* Reference(QICore Laboratory Result Observation) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Observations
    DiagnosticReport.result.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.conclusion This element must be supported. 0..1 string
    (NHSN-MS)
    Clinical conclusion (interpretation) of test results
    DiagnosticReport.conclusionCode This element must be supported. 0..* CodeableConcept
    (NHSN-MS)
    Codes for the clinical conclusion of test results
    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    DiagnosticReport.status Base required ACH Daily Diagnostic Report Status ValueSet 📦3.0.0 This IG
    DiagnosticReport.category Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.category:LaboratorySlice Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.code Base extensible US Core Laboratory Test Codes 📦6.1.0 US Core v6.1
    DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    us-core-8 error DiagnosticReport effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
    us-core-9 error DiagnosticReport issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists()

    This structure is derived from QICoreDiagnosticReportLab

    Name Flags Card. Type Description & Constraints    Filter: doco
    DiagnosticReport 0..* QICoreDiagnosticReportLab(6.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    DiagnosticReport.id This element must be supported. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    DiagnosticReport.meta
    DiagnosticReport.meta.Slices for extension Content/Rules for all slices
    DiagnosticReport.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    DiagnosticReport.status 1..1 code (NHSN-MS) final | registered | preliminary | partial
    Binding: ACH Daily Diagnostic Report Status ValueSet (required)
    DiagnosticReport.Slices for category Content/Rules for all slices
    DiagnosticReport.Slices for category.category:LaboratorySlice 1..1 CodeableConcept (NHSN-MS)(QI-Core)(USCDI) Service category
    DiagnosticReport.Slices for category.category:LaboratorySlice.coding This element must be supported. 1..* Coding
    (NHSN-MS)
    Code defined by a terminology system
    DiagnosticReport.code 1..1 CodeableConcept (NHSN-MS)(USCDI) US Core Laboratory Report Order Code
    DiagnosticReport.subject 1..1 Reference(Cross-Measure Patient Profile) {b} (NHSN-MS)(QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
    DiagnosticReport.subject.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.encounter This element must be supported. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Health care event when test ordered
    DiagnosticReport.encounter.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.effective[x] 0..1 dateTime, Period (NHSN-MS)(QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)
    DiagnosticReport.issued 0..1 instant (NHSN-MS)(QI-Core) (USCDI) When the report was released
    DiagnosticReport.specimen This element must be supported. 0..* Reference(ACH Daily Event Specimen) {b}
    (NHSN-MS)
    Specimens this report is based on
    DiagnosticReport.specimen.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.result 0..* Reference(QICore Laboratory Result Observation) {b} (NHSN-MS)(QI-Core)(USCDI) Observations
    DiagnosticReport.result.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.conclusion This element must be supported. 0..1 string
    (NHSN-MS)
    Clinical conclusion (interpretation) of test results
    DiagnosticReport.conclusionCode This element must be supported. 0..* CodeableConcept
    (NHSN-MS)
    Codes for the clinical conclusion of test results

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    DiagnosticReport.status Base required ACH Daily Diagnostic Report Status ValueSet 📦3.0.0 This IG
    Name Flags Card. Type Description & Constraints    Filter: doco
    DiagnosticReport C 0..* QICoreDiagnosticReportLab(6.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    Constraints: us-core-8, us-core-9
    DiagnosticReport.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    DiagnosticReport.meta.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.meta.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    DiagnosticReport.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
    DiagnosticReport.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
    DiagnosticReport.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
    DiagnosticReport.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    DiagnosticReport.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    DiagnosticReport.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    DiagnosticReport.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional Bindings Purpose
    AllLanguages Max Binding
    DiagnosticReport.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
    DiagnosticReport.contained 0..* Resource Contained, inline Resources
    DiagnosticReport.extension 0..* Extension Additional content defined by implementations
    DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    DiagnosticReport.identifier This element is included in summaries. 0..* Identifier Business identifier for report
    DiagnosticReport.basedOn 0..* Reference(QICore CarePlan | QICore ImmunizationRecommendation | QICore MedicationRequest | QICore NutritionOrder | QICore ServiceRequest) What was requested
    DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code
    (NHSN-MS)
    final | registered | preliminary | partial
    Binding: ACH Daily Diagnostic Report Status ValueSet (required)
    DiagnosticReport.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of diagnostic report
    Slice: Unordered, Open by pattern:$this
    Binding: DiagnosticServiceSectionCodes (preferred): 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
    DiagnosticReport.Slices for category.category:LaboratorySlice This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Service category
    Binding: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.

    Required Pattern: 
    {
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "LAB"
    }
  ]
}
    DiagnosticReport.Slices for category.category:LaboratorySlice.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.Slices for category.category:LaboratorySlice.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.Slices for category.category:LaboratorySlice.coding This element must be supported. This element is included in summaries. 1..* Coding
    (NHSN-MS)
    Code defined by a terminology system
    DiagnosticReport.Slices for category.category:LaboratorySlice.text This element is included in summaries. 0..1 string Plain text representation of the concept
    DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) US Core Laboratory Report Order Code
    Binding: US Core Laboratory Test Codes (extensible): LOINC codes
    DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
    DiagnosticReport.subject.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.subject.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.subject.type This element is included in summaries. 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).
    DiagnosticReport.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Health care event when test ordered
    DiagnosticReport.encounter.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.encounter.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.encounter.type This element is included in summaries. 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).
    DiagnosticReport.encounter.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. C 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)
    DiagnosticReport.effective[x].effectiveDateTime dateTime This target must be supported.
    DiagnosticReport.effective[x].effectivePeriod Period
    DiagnosticReport.issued This element must be supported. This element is included in summaries. C 0..1 instant
    (NHSN-MS)
    (QI-Core) (USCDI) When the report was released
    DiagnosticReport.performer This element must be supported. This element is included in summaries. 0..* Reference(QICore Practitioner | QICore PractitionerRole | QICore Organization) (QI-Core)(USCDI) Responsible Diagnostic Service
    DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
    DiagnosticReport.specimen This element must be supported. 0..* Reference(ACH Daily Event Specimen) {b}
    (NHSN-MS)
    Specimens this report is based on
    DiagnosticReport.specimen.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.specimen.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.specimen.type This element is included in summaries. 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).
    DiagnosticReport.specimen.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.specimen.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.result This element must be supported. 0..* Reference(QICore Laboratory Result Observation) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Observations
    DiagnosticReport.result.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.result.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.result.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.result.type This element is included in summaries. 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).
    DiagnosticReport.result.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.result.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
    DiagnosticReport.media This element is included in summaries. 0..* BackboneElement Key images associated with this report
    DiagnosticReport.media.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.media.extension 0..* Extension Additional content defined by implementations
    DiagnosticReport.media.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    DiagnosticReport.media.comment 0..1 string Comment about the image (e.g. explanation)
    DiagnosticReport.media.link This element is included in summaries. 1..1 Reference(Media) Reference to the image source
    DiagnosticReport.conclusion This element must be supported. 0..1 string
    (NHSN-MS)
    Clinical conclusion (interpretation) of test results
    DiagnosticReport.conclusionCode This element must be supported. 0..* CodeableConcept
    (NHSN-MS)
    Codes for the clinical conclusion of test results
    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
    DiagnosticReport.presentedForm 0..* Attachment Entire report as issued

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
    DiagnosticReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    DiagnosticReport.status Base required ACH Daily Diagnostic Report Status ValueSet 📦3.0.0 This IG
    DiagnosticReport.category Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.category:LaboratorySlice Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.code Base extensible US Core Laboratory Test Codes 📦6.1.0 US Core v6.1
    DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.specimen.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.result.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    us-core-8 error DiagnosticReport effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
    us-core-9 error DiagnosticReport issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists()

    Key Elements View

    Name Flags Card. Type Description & Constraints    Filter: doco
    DiagnosticReport C 0..* QICoreDiagnosticReportLab(6.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    Constraints: us-core-8, us-core-9
    DiagnosticReport.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code
    (NHSN-MS)
    final | registered | preliminary | partial
    Binding: ACH Daily Diagnostic Report Status ValueSet (required)
    DiagnosticReport.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of diagnostic report
    Slice: Unordered, Open by pattern:$this
    Binding: DiagnosticServiceSectionCodes (preferred): 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
    DiagnosticReport.Slices for category.category:LaboratorySlice This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Service category
    Binding: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.

    Required Pattern: 
    {
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "LAB"
    }
  ]
}
    DiagnosticReport.Slices for category.category:LaboratorySlice.coding This element must be supported. This element is included in summaries. 1..* Coding
    (NHSN-MS)
    Code defined by a terminology system
    DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) US Core Laboratory Report Order Code
    Binding: US Core Laboratory Test Codes (extensible): LOINC codes
    DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
    DiagnosticReport.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Health care event when test ordered
    DiagnosticReport.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. C 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)
    DiagnosticReport.effective[x].effectiveDateTime dateTime This target must be supported.
    DiagnosticReport.effective[x].effectivePeriod Period
    DiagnosticReport.issued This element must be supported. This element is included in summaries. C 0..1 instant
    (NHSN-MS)
    (QI-Core) (USCDI) When the report was released
    DiagnosticReport.performer This element must be supported. This element is included in summaries. 0..* Reference(QICore Practitioner | QICore PractitionerRole | QICore Organization) (QI-Core)(USCDI) Responsible Diagnostic Service
    DiagnosticReport.specimen This element must be supported. 0..* Reference(ACH Daily Event Specimen) {b}
    (NHSN-MS)
    Specimens this report is based on
    DiagnosticReport.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.result This element must be supported. 0..* Reference(QICore Laboratory Result Observation) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Observations
    DiagnosticReport.result.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.conclusion This element must be supported. 0..1 string
    (NHSN-MS)
    Clinical conclusion (interpretation) of test results
    DiagnosticReport.conclusionCode This element must be supported. 0..* CodeableConcept
    (NHSN-MS)
    Codes for the clinical conclusion of test results
    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    DiagnosticReport.status Base required ACH Daily Diagnostic Report Status ValueSet 📦3.0.0 This IG
    DiagnosticReport.category Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.category:LaboratorySlice Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.code Base extensible US Core Laboratory Test Codes 📦6.1.0 US Core v6.1
    DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    us-core-8 error DiagnosticReport effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
    us-core-9 error DiagnosticReport issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists()

    Differential View

    This structure is derived from QICoreDiagnosticReportLab

    Name Flags Card. Type Description & Constraints    Filter: doco
    DiagnosticReport 0..* QICoreDiagnosticReportLab(6.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    DiagnosticReport.id This element must be supported. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    DiagnosticReport.meta
    DiagnosticReport.meta.Slices for extension Content/Rules for all slices
    DiagnosticReport.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    DiagnosticReport.status 1..1 code (NHSN-MS) final | registered | preliminary | partial
    Binding: ACH Daily Diagnostic Report Status ValueSet (required)
    DiagnosticReport.category 1..* CodeableConcept (NHSN-MS)(QI-Core)(USCDI) Classification of diagnostic report
    DiagnosticReport.Slices for category Content/Rules for all slices
    DiagnosticReport.Slices for category.category:LaboratorySlice 1..1 CodeableConcept (NHSN-MS)(QI-Core)(USCDI) Service category
    DiagnosticReport.Slices for category.category:LaboratorySlice.coding This element must be supported. 1..* Coding
    (NHSN-MS)
    Code defined by a terminology system
    DiagnosticReport.code 1..1 CodeableConcept (NHSN-MS)(USCDI) US Core Laboratory Report Order Code
    DiagnosticReport.subject 1..1 Reference(Cross-Measure Patient Profile) {b} (NHSN-MS)(QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
    DiagnosticReport.subject.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.encounter This element must be supported. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Health care event when test ordered
    DiagnosticReport.encounter.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.effective[x] 0..1 dateTime, Period (NHSN-MS)(QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)
    DiagnosticReport.issued 0..1 instant (NHSN-MS)(QI-Core) (USCDI) When the report was released
    DiagnosticReport.specimen This element must be supported. 0..* Reference(ACH Daily Event Specimen) {b}
    (NHSN-MS)
    Specimens this report is based on
    DiagnosticReport.specimen.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.result 0..* Reference(QICore Laboratory Result Observation) {b} (NHSN-MS)(QI-Core)(USCDI) Observations
    DiagnosticReport.result.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.conclusion This element must be supported. 0..1 string
    (NHSN-MS)
    Clinical conclusion (interpretation) of test results
    DiagnosticReport.conclusionCode This element must be supported. 0..* CodeableConcept
    (NHSN-MS)
    Codes for the clinical conclusion of test results

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    DiagnosticReport.status Base required ACH Daily Diagnostic Report Status ValueSet 📦3.0.0 This IG

    Snapshot View

    Name Flags Card. Type Description & Constraints    Filter: doco
    DiagnosticReport C 0..* QICoreDiagnosticReportLab(6.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    Constraints: us-core-8, us-core-9
    DiagnosticReport.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    DiagnosticReport.meta.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.meta.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    DiagnosticReport.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
    DiagnosticReport.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
    DiagnosticReport.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
    DiagnosticReport.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    DiagnosticReport.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    DiagnosticReport.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    DiagnosticReport.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional Bindings Purpose
    AllLanguages Max Binding
    DiagnosticReport.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
    DiagnosticReport.contained 0..* Resource Contained, inline Resources
    DiagnosticReport.extension 0..* Extension Additional content defined by implementations
    DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    DiagnosticReport.identifier This element is included in summaries. 0..* Identifier Business identifier for report
    DiagnosticReport.basedOn 0..* Reference(QICore CarePlan | QICore ImmunizationRecommendation | QICore MedicationRequest | QICore NutritionOrder | QICore ServiceRequest) What was requested
    DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 code
    (NHSN-MS)
    final | registered | preliminary | partial
    Binding: ACH Daily Diagnostic Report Status ValueSet (required)
    DiagnosticReport.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of diagnostic report
    Slice: Unordered, Open by pattern:$this
    Binding: DiagnosticServiceSectionCodes (preferred): 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
    DiagnosticReport.Slices for category.category:LaboratorySlice This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Service category
    Binding: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.

    Required Pattern: 
    {
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "LAB"
    }
  ]
}
    DiagnosticReport.Slices for category.category:LaboratorySlice.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.Slices for category.category:LaboratorySlice.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.Slices for category.category:LaboratorySlice.coding This element must be supported. This element is included in summaries. 1..* Coding
    (NHSN-MS)
    Code defined by a terminology system
    DiagnosticReport.Slices for category.category:LaboratorySlice.text This element is included in summaries. 0..1 string Plain text representation of the concept
    DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) US Core Laboratory Report Order Code
    Binding: US Core Laboratory Test Codes (extensible): LOINC codes
    DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
    DiagnosticReport.subject.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.subject.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.subject.type This element is included in summaries. 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).
    DiagnosticReport.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Health care event when test ordered
    DiagnosticReport.encounter.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.encounter.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.encounter.type This element is included in summaries. 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).
    DiagnosticReport.encounter.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. C 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)
    DiagnosticReport.effective[x].effectiveDateTime dateTime This target must be supported.
    DiagnosticReport.effective[x].effectivePeriod Period
    DiagnosticReport.issued This element must be supported. This element is included in summaries. C 0..1 instant
    (NHSN-MS)
    (QI-Core) (USCDI) When the report was released
    DiagnosticReport.performer This element must be supported. This element is included in summaries. 0..* Reference(QICore Practitioner | QICore PractitionerRole | QICore Organization) (QI-Core)(USCDI) Responsible Diagnostic Service
    DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
    DiagnosticReport.specimen This element must be supported. 0..* Reference(ACH Daily Event Specimen) {b}
    (NHSN-MS)
    Specimens this report is based on
    DiagnosticReport.specimen.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.specimen.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.specimen.type This element is included in summaries. 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).
    DiagnosticReport.specimen.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.specimen.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.result This element must be supported. 0..* Reference(QICore Laboratory Result Observation) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Observations
    DiagnosticReport.result.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.result.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    DiagnosticReport.result.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    DiagnosticReport.result.type This element is included in summaries. 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).
    DiagnosticReport.result.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    DiagnosticReport.result.display This element is included in summaries. 0..1 string Text alternative for the resource
    DiagnosticReport.imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
    DiagnosticReport.media This element is included in summaries. 0..* BackboneElement Key images associated with this report
    DiagnosticReport.media.id 0..1 string Unique id for inter-element referencing
    DiagnosticReport.media.extension 0..* Extension Additional content defined by implementations
    DiagnosticReport.media.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    DiagnosticReport.media.comment 0..1 string Comment about the image (e.g. explanation)
    DiagnosticReport.media.link This element is included in summaries. 1..1 Reference(Media) Reference to the image source
    DiagnosticReport.conclusion This element must be supported. 0..1 string
    (NHSN-MS)
    Clinical conclusion (interpretation) of test results
    DiagnosticReport.conclusionCode This element must be supported. 0..* CodeableConcept
    (NHSN-MS)
    Codes for the clinical conclusion of test results
    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
    DiagnosticReport.presentedForm 0..* Attachment Entire report as issued

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
    DiagnosticReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    DiagnosticReport.status Base required ACH Daily Diagnostic Report Status ValueSet 📦3.0.0 This IG
    DiagnosticReport.category Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.category:LaboratorySlice Base preferred Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
    DiagnosticReport.code Base extensible US Core Laboratory Test Codes 📦6.1.0 US Core v6.1
    DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.specimen.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.result.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    us-core-8 error DiagnosticReport effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
    us-core-9 error DiagnosticReport issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists()

     

    Other representations of profile: CSV, Excel, Schematron


    National Center for Emerging and Zoonotic Infectious Diseases