MII IG Modul Molekulargenetischer Befundbericht v2026

There are no (further) constraints on this element

Element id

DiagnosticReport.extension

Short description

Extension

Definition

An Extension

Data type

Extension(Reference(MII_PR_MolGen_Medikationsempfehlung | MII_PR_MolGen_EmpfohleneFolgemassnahme))

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

recommended-action

S C

0..*

Element id

DiagnosticReport.extension:recommended-action

Short description

MII EX MolGen Empfohlene Maßnahme

Definition

Die Extension verweist auf eine vorgeschlagene Maßnahme, die auf der Grundlage der Ergebnisse des Befundberichts empfohlen wird.

Data type

Extension(Reference(MII_PR_MolGen_Medikationsempfehlung | MII_PR_MolGen_EmpfohleneFolgemassnahme))

Extension URL

https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-massnahme

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

genomic-risk-assessment

S C

0..*

Extension(Reference(RiskAssessment))

Element id

DiagnosticReport.extension:genomic-risk-assessment

Short description

Genomic Risk Assessment

Definition

RiskAssessment delivered as part of a genomics report or observation

Data type

Extension(Reference(RiskAssessment))

Extension URL

http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-risk-assessment

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

coded-note

S C

0..*

Extension(CodedAnnotation)

Element id

DiagnosticReport.extension:coded-note

Short description

Comments about the report that also contain a coded type

Definition

Adds codified notes to a report to capture additional content

Requirements

Need to be able to provide free text additional information. Notes SHALL NOT contain information which can be captured in a structured way.

Comments

May include general statements about the report, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. The CodedAnnotation data type, while not allowing for or intending to make the content computable, does allow the author to indicate the type of note. This does not replace the use of results or conclusion or conclusionCode. One important note is that Annotation is a FHIR data type, this is NOT about annotations in the genomic context.

Data type

Extension(CodedAnnotation)

Extension URL

http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

supporting-info

S C

0..*

Extension(Reference(Resource))

Element id

DiagnosticReport.extension:supporting-info

Short description

Other information that may be relevant to this event.

Definition

Other resources from the patient record that may be relevant to the event. The information from these resources was either used to create the instance or is provided to help with its interpretation. This extension should not be used if more specific inline elements or extensions are available. For example, use Observation.hasMember instead of supportingInformation for representing the members of an Observation panel.

Data type

Extension(Reference(Resource))

Extension URL

http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

genomic-study

S C

0..*

Extension(Reference(GenomicStudy))

Element id

DiagnosticReport.extension:genomic-study

Short description

Reference to full details of an genomic study associated with the diagnostic report

Definition

Used to reference a GenomicStudy profile

Data type

Extension(Reference(GenomicStudy))

Extension URL

http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-reference

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

hla-genotyping-results-allele-database

0..1

Extension(CodeableConcept)

There are no (further) constraints on this element

Element id

DiagnosticReport.extension:hla-genotyping-results-allele-database

Short description

Allele Database

Definition

Allele Database.

Data type

Extension(CodeableConcept)

Extension URL

http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

hla-genotyping-results-glstring

0..1

Extension(Complex)

There are no (further) constraints on this element

Element id

DiagnosticReport.extension:hla-genotyping-results-glstring

Short description

glstring

Definition

glstring.

Data type

Extension(Complex)

Extension URL

http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

workflow-relatedArtifact

S C

0..*

Extension(RelatedArtifact)

Element id

DiagnosticReport.extension:workflow-relatedArtifact

Short description

Documentation relevant to the 'parent' resource

Definition

Documents the 'knowledge artifacts' relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology.

Comments

Note that in contrast this extension, the supportingInfo extension references other resources from the patient record that were used in creating the resource.

Data type

Extension(RelatedArtifact)

Extension URL

http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

DiagnosticReport.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

DiagnosticReportStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

Identifier

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier

Short description

Business identifier for report

Alternate names

ReportID, Filler ID, Placer ID

Definition

Identifiers assigned to this report by the performer or other systems.

Requirements

Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.

Comments

Usually assigned by the Information System of the diagnostic service provider (filler id).

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
v2: OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
rim: id

basedOn

0..*

Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)

There are no (further) constraints on this element

Element id

DiagnosticReport.basedOn

Short description

What was requested

Alternate names

Request

Definition

Details concerning a service requested.

Requirements

This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

Comments

Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.

Data type

Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
v2: ORC? OBR-2/3?
rim: outboundRelationship[typeCode=FLFS].target

status

S Σ ?!

1..1

codeBinding

Element id

DiagnosticReport.status

Short description

registered | partial | preliminary | final +

Alternate names

Berichtstatus

Definition

The status of the diagnostic report.

Requirements

Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

Data type

code

Binding

The status of the diagnostic report.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: OBR-25 (not 1:1 mapping)
rim: statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
MII-KDS: mide-dataelement-1448

category

1..*

There are no (further) constraints on this element

Element id

DiagnosticReport.category

Short description

Service category

Alternate names

Department, Sub-department, Service, Discipline

Definition

A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.

Comments

Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.

Data type

DiagnosticServiceSectionCodes (example)

Slicing

Unordered, Open, by coding(Value)

Slice based on the category code pattern

Binding

Codes for diagnostic service sections.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
v2: OBR-24
rim: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

Genetics

1..1

There are no (further) constraints on this element

Element id

DiagnosticReport.category:Genetics

Short description

Service category

Alternate names

Department, Sub-department, Service, Discipline

Definition

Comments

Data type

DiagnosticServiceSectionCodes (example)

Binding

Codes for diagnostic service sections.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
v2: OBR-24
rim: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.category:Genetics.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

DiagnosticReport.category:Genetics.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

coding

1..1

CodingPattern

There are no (further) constraints on this element

Element id

DiagnosticReport.category:Genetics.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
  "code": "GE"
}

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.category:Genetics.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

code

1..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

DiagnosticReport.code

Short description

Name/Code for this diagnostic report

Alternate names

Type

Definition

A code or name that describes this diagnostic report.

Data type

LOINCDiagnosticReportCodes (preferred)

Binding

Codes that describe Diagnostic Reports.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "51969-4"
    }
  ]
}

Mappings

workflow: Event.code
w5: FiveWs.what[x]
v2: OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
rim: code

subject

S Σ

1..1

Reference(Patient | Group)

Element id

DiagnosticReport.subject

Short description

The subject of the report - usually, but not always, the patient

Alternate names

Patient

Definition

The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.

Requirements

SHALL know the subject context.

Data type

Reference(Patient | Group)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3 (no HL7 v2 mapping for Group or Device)
rim: participation[typeCode=SBJ]
w5: FiveWs.subject

encounter

S Σ

0..1

Reference(Encounter)

There are no (further) constraints on this element

Element id

DiagnosticReport.encounter

Short description

Health care event when test ordered

Alternate names

Context

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.

Requirements

Links the request to the Encounter context.

Comments

This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).

Data type

Reference(Encounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
v2: PV1-19
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

effective[x]

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.effective[x]

Short description

Clinically relevant time/time-period for report

Alternate names

Observation time, Effective Time, Occurrence

Definition

The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.

Requirements

Need to know where in the patient history to file/present this report.

Comments

If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
v2: OBR-7
rim: effectiveTime

effectiveDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

issued

S Σ

0..1

instant

Element id

DiagnosticReport.issued

Short description

DateTime this version was made

Alternate names

Date published, Date Issued, Date Verified, Datum des Berichtes

Definition

The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.

Requirements

Clinicians need to be able to check the date that the report was released.

Comments

May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.

Data type

instant

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR-22
rim: participation[typeCode=VRF or AUT].time
MII-KDS: mide-dataelement-1452

performer

S Σ

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Element id

DiagnosticReport.performer

Short description

Responsible Diagnostic Service

Alternate names

Laboratory, Service, Practitioner, Department, Company, Authorized by, Director, Labor / Institution/ Ansprechpartner

Definition

The diagnostic service that is responsible for issuing the report.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: PRT-8 (where this PRT-4-Participation = "PO")
rim: .participation[typeCode=PRF]
MII-KDS: mide-dataelement-1453

resultsInterpreter

S Σ

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Element id

DiagnosticReport.resultsInterpreter

Short description

Primary result interpreter

Alternate names

Analyzed by, Reported by, Labor / Institution/ Ansprechpartner

Definition

The practitioner or organization that is responsible for the report's conclusions and interpretations.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

Might not be the same entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
rim: .participation[typeCode=PRF]
MII-KDS: mide-dataelement-1453

specimen

0..*

Reference(Specimen)

There are no (further) constraints on this element

Element id

DiagnosticReport.specimen

Short description

Specimens this report is based on

Definition

Details about the specimens on which this diagnostic report is based.

Requirements

Need to be able to report information about the collected specimens on which the report is based.

Comments

If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.

Data type

Reference(Specimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: SPM
rim: participation[typeCode=SBJ]

result

0..*

Reference(Observation)

There are no (further) constraints on this element

Element id

DiagnosticReport.result

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(Observation)

Slicing

Unordered, Open, by resolve()(Profile)

Slice based on the reference profile and code pattern

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

diagnostic-implication

0..*

Reference(MII_PR_MolGen_DiagnostischeImplikation)

Element id

DiagnosticReport.result:diagnostic-implication

Short description

Diagnostic Implication

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MII_PR_MolGen_DiagnostischeImplikation)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

therapeutic-implication

0..*

Reference(MII_PR_MolGen_TherapeutischeImplikation)

Element id

DiagnosticReport.result:therapeutic-implication

Short description

Therapeutic Implication

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MII_PR_MolGen_TherapeutischeImplikation)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

molecular-consequence

0..*

Reference(MolecularConsequence)

There are no (further) constraints on this element

Element id

DiagnosticReport.result:molecular-consequence

Short description

Molecular Consequence

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MolecularConsequence)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

variant

0..*

Reference(MII_PR_MolGen_Variante)

Element id

DiagnosticReport.result:variant

Short description

Variant

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MII_PR_MolGen_Variante)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

sequence-phase-relation

0..*

Reference(SequencePhaseRelationship)

There are no (further) constraints on this element

Element id

DiagnosticReport.result:sequence-phase-relation

Short description

Sequence Phase Relationship

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(SequencePhaseRelationship)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

genotype

0..*

Reference(MII_PR_MolGen_Genotyp)

Element id

DiagnosticReport.result:genotype

Short description

Genotype

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MII_PR_MolGen_Genotyp)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

haplotype

0..*

Reference(Haplotype)

There are no (further) constraints on this element

Element id

DiagnosticReport.result:haplotype

Short description

Haplotype

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(Haplotype)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

biomarker

0..*

Reference(MolecularBiomarker)

There are no (further) constraints on this element

Element id

DiagnosticReport.result:biomarker

Short description

MolecularBiomarker

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MolecularBiomarker)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

tumor-mutation-burden

0..*

Reference(MII_PR_MolGen_Mutationslast)

Element id

DiagnosticReport.result:tumor-mutation-burden

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MII_PR_MolGen_Mutationslast)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

microsatellite-instability

0..*

Reference(MII_PR_MolGen_Mikrosatelliteninstabilitaet)

Element id

DiagnosticReport.result:microsatellite-instability

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(MII_PR_MolGen_Mikrosatelliteninstabilitaet)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

imagingStudy

0..*

Reference(ImagingStudy)

There are no (further) constraints on this element

Element id

DiagnosticReport.imagingStudy

Short description

Reference to full details of imaging associated with the diagnostic report

Definition

One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.

Comments

ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.

Data type

Reference(ImagingStudy)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]

media

S Σ

0..*

BackboneElement

Element id

DiagnosticReport.media

Short description

Key images associated with this report

Alternate names

DICOM, Slides, Scans

Definition

A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).

Requirements

Many diagnostic services include images in the report as part of their service.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX?
rim: outboundRelationship[typeCode=COMP].target
MII-KDS: mide-dataelement-1698
MII-KDS: mide-dataelement-1447

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.media.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

DiagnosticReport.media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

DiagnosticReport.media.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

comment

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.media.comment

Short description

Comment about the image (e.g. explanation)

Definition

A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.

Requirements

The provider of the report should make a comment about each image included in the report.

Comments

The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value

link

1..1

Reference(Media)

There are no (further) constraints on this element

Element id

DiagnosticReport.media.link

Short description

Reference to the image source

Definition

Reference to the image source.

Data type

Reference(Media)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .value.reference

conclusion

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusion

Short description

Assessment of overall results

Alternate names

Report

Definition

Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.

Requirements

Need to be able to provide a conclusion that is not lost among the basic result data.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)

conclusionCode

0..*

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusionCode

Short description

Coarse overall interpretation of the genomic results

Definition

One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

Data type