Release 5 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

Diagnosticreport.shex

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner

Raw ShEx

ShEx statement for diagnosticreport 

PREFIX fhir: <http://hl7.org/fhir/> 
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> 
PREFIX rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> 
IMPORT <code.shex>

# ShEx Version 2.2
IMPORT <Code.shex>
IMPORT <List.shex>

IMPORT <Group.shex>
IMPORT <Device.shex>
IMPORT <Period.shex>
IMPORT <string.shex>

IMPORT <String.shex>

IMPORT <Patient.shex>
IMPORT <instant.shex>

IMPORT <Location.shex>
IMPORT <dateTime.shex>
IMPORT <markdown.shex>
IMPORT <Citation.shex>

IMPORT <DateTime.shex>
IMPORT <Markdown.shex>

IMPORT <CarePlan.shex>
IMPORT <CareTeam.shex>
IMPORT <Specimen.shex>
IMPORT <Reference.shex>
IMPORT <Substance.shex>
IMPORT <Encounter.shex>
IMPORT <Condition.shex>

IMPORT <Procedure.shex>
IMPORT <Identifier.shex>
IMPORT <Medication.shex>
IMPORT <Annotation.shex>
IMPORT <Attachment.shex>
IMPORT <Composition.shex>
IMPORT <Observation.shex>
IMPORT <Organization.shex>
IMPORT <Practitioner.shex>
IMPORT <GenomicStudy.shex>

IMPORT <ImagingStudy.shex>
IMPORT <RelatedPerson.shex>
IMPORT <Communication.shex>

IMPORT <DomainResource.shex>
IMPORT <NutritionOrder.shex>
IMPORT <ServiceRequest.shex>
IMPORT <CodeableConcept.shex>
IMPORT <RelatedArtifact.shex>

IMPORT <BackboneElement.shex>
IMPORT <PractitionerRole.shex>
IMPORT <CodeableReference.shex>

IMPORT <DocumentReference.shex>
IMPORT <MedicationRequest.shex>
IMPORT <HealthcareService.shex>
IMPORT <AllergyIntolerance.shex>
IMPORT <FamilyMemberHistory.shex>

IMPORT <BiologicallyDerivedProduct.shex>
IMPORT <ImmunizationRecommendation.shex>

start=@<DiagnosticReport> AND {fhir:nodeRole [fhir:treeRoot]}
# A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
<DiagnosticReport> EXTENDS @<DomainResource> CLOSED {   
    a [fhir:DiagnosticReport]?;
    fhir:nodeRole [fhir:treeRoot]?;

    a [fhir:DiagnosticReport]?;fhir:nodeRole [fhir:treeRoot]?;

    fhir:identifier @<OneOrMore_Identifier>?;  # Business identifier for report
    fhir:basedOn @<OneOrMore_Reference_CarePlan_OR_ImmunizationRecommendation_OR_MedicationRequest_OR_NutritionOrder_OR_ServiceRequest>?;  # What was requested
    fhir:status @<code> AND

    fhir:basedOn @<OneOrMore_Reference_CarePlan_OR_MedicationRequest_OR_NutritionOrder_OR_ServiceRequest>?;  # What was requested
    fhir:status @<Code> AND

    	{fhir:v @fhirvs:diagnostic-report-status};  # registered | partial | preliminary 
                                            # | modified | final | amended | 
                                            # corrected | appended | cancelled | 
                                            # entered-in-error | unknown 
    fhir:category @<OneOrMore_CodeableConcept>?;  # Service category
    fhir:code @<CodeableConcept>;           # Name/Code for this diagnostic 
                                            # report 
    fhir:subject @<Reference> AND {fhir:link 

    fhir:subject @<Reference> AND {fhir:l 

    			@<BiologicallyDerivedProduct> OR 
    			@<Device> OR 
    			@<Group> OR 
    			@<Location> OR 
    			@<Medication> OR 
    			@<Organization> OR 
    			@<Patient> OR 
    			@<Practitioner> OR 
    			@<Substance> ? }?;  # The subject of the report - 
                                            # usually, but not always, the 
                                            # patient 
    fhir:encounter @<Reference> AND {fhir:link 
    			@<Encounter> ? }?;  # Health care event when test ordered
    fhir:effective @<dateTime>  OR 

    fhir:relatesTo @<OneOrMore_RelatedArtifact>?;  # Related DiagnosticReports
    fhir:encounter @<Reference> AND {fhir:l 
    			@<Encounter> ? }?;  # Encounter associated with the 
                                            # DiagnosticReport 
    fhir:effective @<DateTime>  OR 

    			@<Period>  ?;  # Clinically relevant 
                                            # time/time-period for report 
    fhir:issued @<instant>?;                # DateTime this version was made
    fhir:performer @<OneOrMore_Reference_CareTeam_OR_Organization_OR_Practitioner_OR_PractitionerRole>?;  # Responsible Diagnostic Service
    fhir:resultsInterpreter @<OneOrMore_Reference_CareTeam_OR_Organization_OR_Practitioner_OR_PractitionerRole>?;  # Primary result interpreter

                                            # time/time-period for the results 
                                            # that are included in the report 
    fhir:issued @<DateTime>?;               # DateTime this version was made
    fhir:procedure @<OneOrMore_Reference_Procedure>?;  # The performed procedure(s) from 
                                            # which the report was produced 
    fhir:performer @<OneOrMore_Reference_CareTeam_OR_Device_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson>?;  # Responsible Diagnostic Service
    fhir:resultsInterpreter @<OneOrMore_Reference_CareTeam_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson>?;  # Who analyzed and reported the 
                                            # conclusions and interpretations 

    fhir:specimen @<OneOrMore_Reference_Specimen>?;  # Specimens this report is based on
    fhir:result @<OneOrMore_Reference_Observation>?;  # Observations
    fhir:note @<OneOrMore_Annotation>?;     # Comments about the diagnostic 
                                            # report 
    fhir:study @<OneOrMore_Reference_GenomicStudy_OR_ImagingStudy>?;  # Reference to full details of an 

    fhir:study @<OneOrMore_Reference_ImagingStudy>?;  # Reference to full details of an 

                                            # analysis associated with the 
                                            # diagnostic report 
    fhir:supportingInfo @<OneOrMore_DiagnosticReport.supportingInfo>?;  # Additional information supporting 
                                            # the diagnostic report 
    fhir:media @<OneOrMore_DiagnosticReport.media>?;  # Key images or data associated with 
                                            # this report 
    fhir:composition @<Reference> AND {fhir:link 

    fhir:composition @<Reference> AND {fhir:l 

    			@<Composition> ? }?;  # Reference to a Composition 
                                            # resource for the DiagnosticReport 
                                            # structure 
    fhir:conclusion @<markdown>?;           # Clinical conclusion 

    fhir:conclusion @<Markdown>?;           # Clinical conclusion 

                                            # (interpretation) of test results 
    fhir:conclusionCode @<OneOrMore_CodeableConcept>?;  # Codes for the clinical conclusion 
                                            # of test results 

    fhir:conclusionCode @<OneOrMore_CodeableReference>?;  # Codes and/or references for the 
                                            # clinical conclusion of test 
                                            # results 
    fhir:recomendation @<OneOrMore_CodeableReference>?;  # Recommendations based on findings 
                                            # and interpretations 

    fhir:presentedForm @<OneOrMore_Attachment>?;  # Entire report as issued
}  
# Key images or data associated with this report
<DiagnosticReport.media> EXTENDS @<BackboneElement> CLOSED {   
    fhir:comment @<string>?;                # Comment about the image or data 
                                            # (e.g. explanation) 
    fhir:link @<Reference> AND {fhir:link 
    			@<DocumentReference> ? };  # Reference to the image or data 
                                            # source 

    fhir:communication @<OneOrMore_Reference_Communication>?;  # Communication initiated during the 
                                            # reporting process 
    fhir:comparison @<Reference> AND {fhir:l 
    			@<List> ? }?;  # Prior data and findings for 
                                            # comparison 

}  
# Additional information supporting the diagnostic report
<DiagnosticReport.supportingInfo> EXTENDS @<BackboneElement> CLOSED {   
    fhir:type @<CodeableConcept>;           # Supporting information role code
    fhir:reference @<Reference> AND {fhir:link 
    			@<Citation> OR 

    fhir:reference @<Reference> AND {fhir:l 
    			@<AllergyIntolerance> OR 
    			@<Condition> OR 

    			@<DiagnosticReport> OR 
    			@<DocumentReference> OR 
    			@<FamilyMemberHistory> OR 
    			@<ImagingStudy> OR 

    			@<Observation> OR 
    			@<Procedure> ? };  # Supporting information reference
}  
#---------------------- Cardinality Types (OneOrMore) -------------------

# Key images or data associated with this report
<DiagnosticReport.media> EXTENDS @<BackboneElement> CLOSED {   
    fhir:comment @<String>?;                # Comment about the image or data 
                                            # (e.g. explanation) 
    fhir:link @<Reference> AND {fhir:l 
    			@<DocumentReference> ? };  # Reference to the image or data 
                                            # source 
}  

#---------------------- Cardinality Types (OneOrMore) -------------------

<OneOrMore_Identifier> CLOSED {
    rdf:first @<Identifier>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Identifier> 
}
<OneOrMore_Reference_CarePlan_OR_ImmunizationRecommendation_OR_MedicationRequest_OR_NutritionOrder_OR_ServiceRequest> CLOSED {
    rdf:first @<Reference> AND {fhir:link 

<OneOrMore_Reference_CarePlan_OR_MedicationRequest_OR_NutritionOrder_OR_ServiceRequest> CLOSED {
    rdf:first @<Reference> AND {fhir:l 

			@<CarePlan> OR 
			@<ImmunizationRecommendation> OR 

			@<MedicationRequest> OR 
			@<NutritionOrder> OR 
			@<ServiceRequest> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CarePlan_OR_ImmunizationRecommendation_OR_MedicationRequest_OR_NutritionOrder_OR_ServiceRequest> 

    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CarePlan_OR_MedicationRequest_OR_NutritionOrder_OR_ServiceRequest> 

}
<OneOrMore_CodeableConcept> CLOSED {
    rdf:first @<CodeableConcept>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_CodeableConcept> 
}
<OneOrMore_Reference_CareTeam_OR_Organization_OR_Practitioner_OR_PractitionerRole> CLOSED {
    rdf:first @<Reference> AND {fhir:link 

<OneOrMore_RelatedArtifact> CLOSED {
    rdf:first @<RelatedArtifact>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_RelatedArtifact> 
}
<OneOrMore_Reference_Procedure> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<Procedure> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Procedure> 
}
<OneOrMore_Reference_CareTeam_OR_Device_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> CLOSED {
    rdf:first @<Reference> AND {fhir:l 

			@<CareTeam> OR 
			@<Device> OR 
			@<HealthcareService> OR 

			@<Organization> OR 
			@<Patient> OR 

			@<Practitioner> OR 
			@<PractitionerRole> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CareTeam_OR_Organization_OR_Practitioner_OR_PractitionerRole> 

			@<PractitionerRole> OR 
			@<RelatedPerson> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CareTeam_OR_Device_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> 
}
<OneOrMore_Reference_CareTeam_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<CareTeam> OR 
			@<Organization> OR 
			@<Patient> OR 
			@<Practitioner> OR 
			@<PractitionerRole> OR 
			@<RelatedPerson> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CareTeam_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> 

}
<OneOrMore_Reference_Specimen> CLOSED {
    rdf:first @<Reference> AND {fhir:link 

    rdf:first @<Reference> AND {fhir:l 

			@<Specimen> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Specimen> 
}
<OneOrMore_Reference_Observation> CLOSED {
    rdf:first @<Reference> AND {fhir:link 

    rdf:first @<Reference> AND {fhir:l 

			@<Observation> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Observation> 
}
<OneOrMore_Annotation> CLOSED {
    rdf:first @<Annotation>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Annotation> 
}
<OneOrMore_Reference_GenomicStudy_OR_ImagingStudy> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<GenomicStudy> OR 

<OneOrMore_Reference_ImagingStudy> CLOSED {
    rdf:first @<Reference> AND {fhir:l 

			@<ImagingStudy> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_GenomicStudy_OR_ImagingStudy> 

    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_ImagingStudy> 

}
<OneOrMore_DiagnosticReport.supportingInfo> CLOSED {
    rdf:first @<DiagnosticReport.supportingInfo>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_DiagnosticReport.supportingInfo> 
}
<OneOrMore_DiagnosticReport.media> CLOSED {
    rdf:first @<DiagnosticReport.media>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_DiagnosticReport.media> 
}
<OneOrMore_CodeableReference> CLOSED {
    rdf:first @<CodeableReference>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_CodeableReference> 
}

<OneOrMore_Attachment> CLOSED {
    rdf:first @<Attachment>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Attachment> 
}
<OneOrMore_Reference_Communication> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<Communication> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Communication> 
}

#---------------------- Value Sets ------------------------
# The status of the diagnostic report.
fhirvs:diagnostic-report-status ["registered" "partial" "preliminary" "modified" "final" "amended" "corrected" "appended" "cancelled" "entered-in-error" "unknown"]

Usage note: every effort has been made to ensure that the ShEx files are correct and useful, but they are not a normative part of the specification.