haau3 FHIR Implementation Guide (HFIG)
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haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: haau3 Diagnostic Report

Official URL: https://haau3.com/fhir/StructureDefinition/haau3-diagnostic-report Version: 1.0.0
Draft as of 2026-10-14 Computable Name: Haau3DiagnosticReport

A diagnostic report delivered about a care recipient — laboratory results, imaging, cardiology, pathology — grouping the individual results it is based on, or carrying the written report itself. Every delivered record says what kind of report it is, or states plainly that the kind is unknown; every delivered record names the person it belongs to.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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.identifier This element must be supported. This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element must be supported. This element is included in summaries. 1..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.result This element must be supported. 0..* Reference(Observation) Observations
DiagnosticReport.presentedForm This element must be supported. 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍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()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.identifier This element must be supported. 0..* Identifier Business identifier for report
DiagnosticReport.status This element must be supported. 1..1 code registered | partial | preliminary | final +
DiagnosticReport.category This element must be supported. 1..* CodeableConcept Service category
DiagnosticReport.subject This element must be supported. 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.result This element must be supported. 0..* Reference(Observation) Observations
DiagnosticReport.presentedForm This element must be supported. 0..* Attachment Entire report as issued

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact
DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
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 BindingsPurpose
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 must be supported. This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element must be supported. This element is included in summaries. 1..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) Health care event when test ordered
DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report
DiagnosticReport.effective[x].effectiveDateTime dateTime
DiagnosticReport.effective[x].effectivePeriod Period
DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made
DiagnosticReport.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
DiagnosticReport.specimen 0..* Reference(Specimen) Specimens this report is based on
DiagnosticReport.result This element must be supported. 0..* Reference(Observation) Observations
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 0..1 string Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm This element must be supported. 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍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()

This structure is derived from DiagnosticReport

Summary

Mandatory: 2 elements
Must-Support: 7 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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.identifier This element must be supported. This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element must be supported. This element is included in summaries. 1..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.result This element must be supported. 0..* Reference(Observation) Observations
DiagnosticReport.presentedForm This element must be supported. 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍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()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.identifier This element must be supported. 0..* Identifier Business identifier for report
DiagnosticReport.status This element must be supported. 1..1 code registered | partial | preliminary | final +
DiagnosticReport.category This element must be supported. 1..* CodeableConcept Service category
DiagnosticReport.code This element must be supported. 1..1 CodeableConcept Name/Code for this diagnostic report
DiagnosticReport.subject This element must be supported. 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.result This element must be supported. 0..* Reference(Observation) Observations
DiagnosticReport.presentedForm This element must be supported. 0..* Attachment Entire report as issued

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact
DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
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 BindingsPurpose
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 must be supported. This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element must be supported. This element is included in summaries. 1..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
DiagnosticReport.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) Health care event when test ordered
DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report
DiagnosticReport.effective[x].effectiveDateTime dateTime
DiagnosticReport.effective[x].effectivePeriod Period
DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made
DiagnosticReport.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
DiagnosticReport.specimen 0..* Reference(Specimen) Specimens this report is based on
DiagnosticReport.result This element must be supported. 0..* Reference(Observation) Observations
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 0..1 string Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm This element must be supported. 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍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()

This structure is derived from DiagnosticReport

Summary

Mandatory: 2 elements
Must-Support: 7 elements

 

Other representations of profile: CSV, Excel, Schematron