IE (Ireland) Core Implementation Guide
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IE (Ireland) Core Implementation Guide - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: IE Core DiagnosticReport for Report and Note Exchange

Official URL: https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-diagnosticreport-note Version: 0.3.0
Draft as of 2026-09-28 Computable Name: IECoreDiagnosticReportNote

The IE Core DiagnosticReport for Report and Note Exchange profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch diagnostic reports and notes for a patient, based on Irish requirements.

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: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(4.0.1) 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
Constraints: ext-1
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 1..* CodeableConcept Service category
Binding: IECoreDiagnosticReportCategory (0.3.0) (extensible)
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: IECoreDiagnosticReportReportAndNoteCodes (0.3.0) (extensible)
... subject SΣ 1..1 Reference(IE Core Patient(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] SΣ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... presentedForm S 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 extensible IE Core Diagnostic Report Category 📍0.3.0 This IG
DiagnosticReport.code Base extensible IE Core Non Laboratory Diagnostic Report and Note Codes 📍0.3.0 This IG

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 DiagnosticReport.implicitRules, DiagnosticReport.modifierExtension, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.presentedForm All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(4.0.1) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... status S 1..1 code registered | partial | preliminary | final +
... category S 1..* CodeableConcept Service category
Binding: IECoreDiagnosticReportCategory (0.3.0) (extensible)
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: IECoreDiagnosticReportReportAndNoteCodes (0.3.0) (extensible)
... subject S 1..1 Reference(IE Core Patient(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter S 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] S 0..1 dateTime, Period Clinically relevant time/time-period for report
... issued S 0..1 instant DateTime this version was made
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category Base extensible IE Core Diagnostic Report Category 📍0.3.0 This IG
DiagnosticReport.code Base extensible IE Core Non Laboratory Diagnostic Report and Note Codes 📍0.3.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(4.0.1) 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 1..* CodeableConcept Service category
Binding: IECoreDiagnosticReportCategory (0.3.0) (extensible)
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: IECoreDiagnosticReportReportAndNoteCodes (0.3.0) (extensible)
... subject SΣ 1..1 Reference(IE Core Patient(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] SΣ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 S 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 extensible IE Core Diagnostic Report Category 📍0.3.0 This IG
DiagnosticReport.code Base extensible IE Core Non Laboratory Diagnostic Report and Note Codes 📍0.3.0 This IG
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 DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension 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: 9 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(4.0.1) 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
Constraints: ext-1
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 1..* CodeableConcept Service category
Binding: IECoreDiagnosticReportCategory (0.3.0) (extensible)
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: IECoreDiagnosticReportReportAndNoteCodes (0.3.0) (extensible)
... subject SΣ 1..1 Reference(IE Core Patient(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] SΣ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... presentedForm S 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 extensible IE Core Diagnostic Report Category 📍0.3.0 This IG
DiagnosticReport.code Base extensible IE Core Non Laboratory Diagnostic Report and Note Codes 📍0.3.0 This IG

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 DiagnosticReport.implicitRules, DiagnosticReport.modifierExtension, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.presentedForm All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.modifierExtension 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: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(4.0.1) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... status S 1..1 code registered | partial | preliminary | final +
... category S 1..* CodeableConcept Service category
Binding: IECoreDiagnosticReportCategory (0.3.0) (extensible)
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: IECoreDiagnosticReportReportAndNoteCodes (0.3.0) (extensible)
... subject S 1..1 Reference(IE Core Patient(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter S 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] S 0..1 dateTime, Period Clinically relevant time/time-period for report
... issued S 0..1 instant DateTime this version was made
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category Base extensible IE Core Diagnostic Report Category 📍0.3.0 This IG
DiagnosticReport.code Base extensible IE Core Non Laboratory Diagnostic Report and Note Codes 📍0.3.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(4.0.1) 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 1..* CodeableConcept Service category
Binding: IECoreDiagnosticReportCategory (0.3.0) (extensible)
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: IECoreDiagnosticReportReportAndNoteCodes (0.3.0) (extensible)
... subject SΣ 1..1 Reference(IE Core Patient(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] SΣ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 S 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 extensible IE Core Diagnostic Report Category 📍0.3.0 This IG
DiagnosticReport.code Base extensible IE Core Non Laboratory Diagnostic Report and Note Codes 📍0.3.0 This IG
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 DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension 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: 9 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron