ANS IG document core
0.1.0 - ci-build

ANS IG document core - version de développement local (v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: DiagnosticReport - FR Diagnostic Report Document

Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-diagnostic-report-document | Version: 0.1.0
Draft as of 2025-12-15 | Computable Name: FRDiagnosticReportDocument

FRDiagnosticReportDocument est un profil permettant de regrouper les types des résultats classés par type d’examens (BIO, IMG, etc…).

Utilisations:

- Ce Profil nest utilisé par aucun profil dans ce guide dimplémentation

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identifiant
status | ?!S Σ | 1..1 | code | Statut Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Motif requis: final
code | S Σ | 1..1 | CodeableConcept | Type de résultat. Codee n LOINC. Binding: ValueSet - FR ValueSet Result Type Document (required)
effective[x] | S Σ | 1..1 | dateTime | Date
performer | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Exécutant
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
resultsInterpreter | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Auteur
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
result | S | 1..* | Reference(Observation - FR Observation Result Document) | Resultat
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | ValueSet - FR ValueSet Result Type Document | 📦0.1.0 | cet IG
DiagnosticReport.performer.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR
DiagnosticReport.resultsInterpreter.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DiagnosticReport

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier | S | 1..1 | Identifier | Identifiant
status | S | 1..1 | code | Statut Motif requis: final
code | S | 1..1 | CodeableConcept | Type de résultat. Codee n LOINC. Binding: ValueSet - FR ValueSet Result Type Document (required)
effective[x] | S | 1..1 | dateTime | Date
performer | S | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Exécutant
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x] |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Motif requis: PPRF
resultsInterpreter | S | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Auteur
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x] |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Motif requis: AUT
result | S | 1..* | Reference(Observation - FR Observation Result Document) | Resultat
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.code | Base | required | ValueSet - FR ValueSet Result Type Document | 📦0.1.0 | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identifiant
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!S Σ | 1..1 | code | Statut Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Motif requis: final
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code | S Σ | 1..1 | CodeableConcept | Type de résultat. Codee n LOINC. Binding: ValueSet - FR ValueSet Result Type Document (required)
subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
effective[x] | S Σ | 1..1 | dateTime | Date
issued | Σ | 0..1 | instant | DateTime this version was made
performer | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Exécutant
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Motif requis: PPRF
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Auteur
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Motif requis: AUT
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result | S | 1..* | Reference(Observation - FR Observation Result Document) | Resultat
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | Key images associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
comment |  | 0..1 | string | Comment about the image (e.g. explanation)
link | Σ | 1..1 | Reference(Media) | Reference to the image source
conclusion |  | 0..1 | string | Clinical conclusion (interpretation) of test results
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | ValueSet - FR ValueSet Result Type Document | 📦0.1.0 | cet IG
DiagnosticReport.performer.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR
DiagnosticReport.performer.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
DiagnosticReport.resultsInterpreter.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR
DiagnosticReport.resultsInterpreter.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DiagnosticReport

Résumé

Obligatoire : 3 éléments(4 éléments obligatoire(s) imbriqué(s))
Must-Support : 7 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Practitioner Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitioner-document)
- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document)
- FR Organization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document)
- Observation - FR Observation Result Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-result-document)

Extensions

Cette structure fait référence à ces extensions:

- http://hl7.org/fhir/StructureDefinition/event-performerFunction

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identifiant
status | ?!S Σ | 1..1 | code | Statut Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Motif requis: final
code | S Σ | 1..1 | CodeableConcept | Type de résultat. Codee n LOINC. Binding: ValueSet - FR ValueSet Result Type Document (required)
effective[x] | S Σ | 1..1 | dateTime | Date
performer | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Exécutant
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
resultsInterpreter | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Auteur
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
result | S | 1..* | Reference(Observation - FR Observation Result Document) | Resultat
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | ValueSet - FR ValueSet Result Type Document | 📦0.1.0 | cet IG
DiagnosticReport.performer.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR
DiagnosticReport.resultsInterpreter.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from DiagnosticReport

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier | S | 1..1 | Identifier | Identifiant
status | S | 1..1 | code | Statut Motif requis: final
code | S | 1..1 | CodeableConcept | Type de résultat. Codee n LOINC. Binding: ValueSet - FR ValueSet Result Type Document (required)
effective[x] | S | 1..1 | dateTime | Date
performer | S | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Exécutant
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x] |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Motif requis: PPRF
resultsInterpreter | S | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Auteur
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x] |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Motif requis: AUT
result | S | 1..* | Reference(Observation - FR Observation Result Document) | Resultat
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.code | Base | required | ValueSet - FR ValueSet Result Type Document | 📦0.1.0 | cet IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identifiant
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!S Σ | 1..1 | code | Statut Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Motif requis: final
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code | S Σ | 1..1 | CodeableConcept | Type de résultat. Codee n LOINC. Binding: ValueSet - FR ValueSet Result Type Document (required)
subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
effective[x] | S Σ | 1..1 | dateTime | Date
issued | Σ | 0..1 | instant | DateTime this version was made
performer | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Exécutant
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Motif requis: PPRF
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter | S Σ | 0..* | Reference(FR Practitioner Document | FR PractitionerRole Document | FR Organization Document) | Auteur
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:performerFunction |  | 1..1 | (Complexe) | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Performer Function Codes (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Motif requis: AUT
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result | S | 1..* | Reference(Observation - FR Observation Result Document) | Resultat
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | Key images associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
comment |  | 0..1 | string | Comment about the image (e.g. explanation)
link | Σ | 1..1 | Reference(Media) | Reference to the image source
conclusion |  | 0..1 | string | Clinical conclusion (interpretation) of test results
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | ValueSet - FR ValueSet Result Type Document | 📦0.1.0 | cet IG
DiagnosticReport.performer.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR
DiagnosticReport.performer.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
DiagnosticReport.resultsInterpreter.​extension:performerFunction.​value[x] | Base | extensible | Performer Function Codes | 📦4.0.1 | Std. FHIR
DiagnosticReport.resultsInterpreter.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DiagnosticReport

Résumé

Obligatoire : 3 éléments(4 éléments obligatoire(s) imbriqué(s))
Must-Support : 7 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Practitioner Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitioner-document)
- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document)
- FR Organization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document)
- Observation - FR Observation Result Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-result-document)

Extensions

Cette structure fait référence à ces extensions:

- http://hl7.org/fhir/StructureDefinition/event-performerFunction

Other representations of profile: CSV, Excel, Schematron