description: Laboratory results are grouped and summarized using the DiagnosticReport resource which typically reference Observation resource(s).  Each Observation resource represents an individual laboratory test and result value or component result values, or a nested panel (such as a microbial susceptibility panel) which references other observations.  They can also be presented in report form or as free text.  This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient to promote interoperability and adoption through common implementation.  It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreDiagnosticReportProfileLaboratoryReporting
type: DiagnosticReport
elements:
  category:
    short: (USCDI) Service category
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        LaboratorySlice:
          match:
            coding:
            - {code: LAB, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'}
          schema:
            short: (USCDI) Service category
            mustSupport: true
            _required: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: LAB, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'}
            index: 2
          min: 1
          max: 1
  effectiveDateTime: {type: dateTime, short: (USCDI) Diagnostically relevant time (typically the time of specimen collection), mustSupport: true, choiceOf: effective, index: 7}
  status:
    short: (USCDI) registered | partial | preliminary | final +
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-report-status'}
    mustSupport: true
    index: 0
  result:
    type: Reference
    short: (USCDI) Observations
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab']
    index: 11
  effective:
    short: (USCDI) Diagnostically relevant time (typically the time of specimen collection)
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 6
  code:
    short: (USCDI) US Core Laboratory Report Order Code
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-laboratory-test-codes'}
    mustSupport: true
    index: 3
  issued: {short: (USCDI) When the report was released, mustSupport: true, index: 9}
  subject:
    type: Reference
    short: (USCDI) The subject of the report - usually, but not always, the patient
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  performer:
    type: Reference
    short: (USCDI) Responsible Diagnostic Service
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole']
    index: 10
  effectivePeriod: {type: Period, short: (USCDI) Diagnostically relevant time (typically the time of specimen collection), mustSupport: true, choiceOf: effective, index: 8}
package_version: 6.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 6.0.0
required: [subject, category]