Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	USCoreDiagnosticReportProfileNoteExchange	US Core Diagnostic Report Profile for Report and Note exchange
implicitRules		0..0
modifierExtension		0..0
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	ReferenceRest(PA Service Request)	What was requested
status		1..1	code	partial | preliminary | final | amended | corrected | appended | entered-in-error Binding: PA DiagnosticReport Statuses (required)
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this
category:PA	S	1..1	CodeableConcept	Additional category indicating that the service category is related to physical activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code		1..1	CodeableConcept	US Core Report Code Binding: PA DiagnosticReport Types (extensible)
encounter		0..1	Reference(US Core Encounter Profile)	Health care event when test ordered
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:SupportedResult	S	0..*	ReferenceRest(PA Observation EVS Base S | PA Observation - Supporting, Activity-based S | PA Observation - Supporting, Time-based S | PA Observation - Supporting, Activity Group S)	Observations
presentedForm	C	0..*	Attachment	Entire report as issued pa-dr-1: At least one of data and url must be present.
contentType		0..1	code	Mime type of the content, with charset etc. Required Pattern: application/pdf
data	SC	0..1	base64Binary	Data inline, base64ed
url	SC	0..1	url	Uri where the data can be found
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	PADiagnosticReportStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-status from this IG
DiagnosticReport.code	extensible	PADiagnosticReportType http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
pa-dr-1	error	DiagnosticReport.presentedForm	At least one of data and url must be present. : data.exists() or url.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	USCoreDiagnosticReportProfileNoteExchange	US Core Diagnostic Report Profile for Report and Note exchange
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	ReferenceRest(PA Service Request)	What was requested
status	?!SΣ	1..1	code	partial | preliminary | final | amended | corrected | appended | entered-in-error Binding: PA DiagnosticReport Statuses (required)
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: US Core DiagnosticReport Category (extensible)
category:PA	SΣ	1..1	CodeableConcept	Additional category indicating that the service category is related to physical activity Binding: US Core DiagnosticReport Category (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code	SΣ	1..1	CodeableConcept	US Core Report Code Binding: PA DiagnosticReport Types (extensible)
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Health care event when test ordered
effective[x]	SΣ	1..1		Time of the report or note
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(US Core Practitioner Profile | US Core Organization Profile)	Responsible Diagnostic Service
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:SupportedResult	S	0..*	ReferenceRest(PA Observation EVS Base | PA Observation - Supporting, Activity-based | PA Observation - Supporting, Time-based | PA Observation - Supporting, Activity Group)	Observations
presentedForm	SC	0..*	Attachment	Entire report as issued pa-dr-1: At least one of data and url must be present.
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
data	SC	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	PADiagnosticReportStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-status from this IG
DiagnosticReport.category	extensible	USCoreDiagnosticReportCategory http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.code	extensible	PADiagnosticReportType http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-type from this IG
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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())
pa-dr-1	error	DiagnosticReport.presentedForm	At least one of data and url must be present. : data.exists() or url.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	USCoreDiagnosticReportProfileNoteExchange	US Core Diagnostic Report Profile for Report and Note exchange
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
identifier	Σ	0..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	ReferenceRest(PA Service Request)	What was requested
status	?!SΣ	1..1	code	partial | preliminary | final | amended | corrected | appended | entered-in-error Binding: PA DiagnosticReport Statuses (required)
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: US Core DiagnosticReport Category (extensible)
category:PA	SΣ	1..1	CodeableConcept	Additional category indicating that the service category is related to physical activity Binding: US Core DiagnosticReport Category (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	US Core Report Code Binding: PA DiagnosticReport Types (extensible)
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Health care event when test ordered
effective[x]	SΣ	1..1		Time of the report or note
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(US Core Practitioner Profile | US Core Organization Profile)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:SupportedResult	S	0..*	ReferenceRest(PA Observation EVS Base S | PA Observation - Supporting, Activity-based S | PA Observation - Supporting, Time-based S | PA Observation - Supporting, Activity Group S)	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
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	SC	0..*	Attachment	Entire report as issued pa-dr-1: At least one of data and url must be present.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data	SC	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	PADiagnosticReportStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-status from this IG
DiagnosticReport.category	extensible	USCoreDiagnosticReportCategory http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.code	extensible	PADiagnosticReportType http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-type from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
pa-dr-1	error	DiagnosticReport.presentedForm	At least one of data and url must be present. : data.exists() or url.exists()

Summary

Mandatory: 1 element
Must-Support: 5 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Reference - RESTful (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest)
• PA Service Request (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-servicerequest)
• PA Observation EVS Base (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs)
• PA Observation - Supporting, Activity-based (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-measure)
• PA Observation - Supporting, Time-based (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-time-measure)
• PA Observation - Supporting, Activity Group (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-group)

Slices

This structure defines the following Slices:

• The element DiagnosticReport.basedOn is sliced based on the value of profile:resolve()
• The element DiagnosticReport.category is sliced based on the value of pattern:$this
• The element DiagnosticReport.result is sliced based on the value of profile:resolve()

Maturity: 2

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	USCoreDiagnosticReportProfileNoteExchange	US Core Diagnostic Report Profile for Report and Note exchange
implicitRules		0..0
modifierExtension		0..0
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	ReferenceRest(PA Service Request)	What was requested
status		1..1	code	partial | preliminary | final | amended | corrected | appended | entered-in-error Binding: PA DiagnosticReport Statuses (required)
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this
category:PA	S	1..1	CodeableConcept	Additional category indicating that the service category is related to physical activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code		1..1	CodeableConcept	US Core Report Code Binding: PA DiagnosticReport Types (extensible)
encounter		0..1	Reference(US Core Encounter Profile)	Health care event when test ordered
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:SupportedResult	S	0..*	ReferenceRest(PA Observation EVS Base S | PA Observation - Supporting, Activity-based S | PA Observation - Supporting, Time-based S | PA Observation - Supporting, Activity Group S)	Observations
presentedForm	C	0..*	Attachment	Entire report as issued pa-dr-1: At least one of data and url must be present.
contentType		0..1	code	Mime type of the content, with charset etc. Required Pattern: application/pdf
data	SC	0..1	base64Binary	Data inline, base64ed
url	SC	0..1	url	Uri where the data can be found
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	PADiagnosticReportStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-status from this IG
DiagnosticReport.code	extensible	PADiagnosticReportType http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
pa-dr-1	error	DiagnosticReport.presentedForm	At least one of data and url must be present. : data.exists() or url.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	USCoreDiagnosticReportProfileNoteExchange	US Core Diagnostic Report Profile for Report and Note exchange
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	ReferenceRest(PA Service Request)	What was requested
status	?!SΣ	1..1	code	partial | preliminary | final | amended | corrected | appended | entered-in-error Binding: PA DiagnosticReport Statuses (required)
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: US Core DiagnosticReport Category (extensible)
category:PA	SΣ	1..1	CodeableConcept	Additional category indicating that the service category is related to physical activity Binding: US Core DiagnosticReport Category (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code	SΣ	1..1	CodeableConcept	US Core Report Code Binding: PA DiagnosticReport Types (extensible)
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Health care event when test ordered
effective[x]	SΣ	1..1		Time of the report or note
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(US Core Practitioner Profile | US Core Organization Profile)	Responsible Diagnostic Service
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:SupportedResult	S	0..*	ReferenceRest(PA Observation EVS Base | PA Observation - Supporting, Activity-based | PA Observation - Supporting, Time-based | PA Observation - Supporting, Activity Group)	Observations
presentedForm	SC	0..*	Attachment	Entire report as issued pa-dr-1: At least one of data and url must be present.
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
data	SC	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	PADiagnosticReportStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-status from this IG
DiagnosticReport.category	extensible	USCoreDiagnosticReportCategory http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.code	extensible	PADiagnosticReportType http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-type from this IG
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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())
pa-dr-1	error	DiagnosticReport.presentedForm	At least one of data and url must be present. : data.exists() or url.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	USCoreDiagnosticReportProfileNoteExchange	US Core Diagnostic Report Profile for Report and Note exchange
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
identifier	Σ	0..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	ReferenceRest(PA Service Request)	What was requested
status	?!SΣ	1..1	code	partial | preliminary | final | amended | corrected | appended | entered-in-error Binding: PA DiagnosticReport Statuses (required)
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: US Core DiagnosticReport Category (extensible)
category:PA	SΣ	1..1	CodeableConcept	Additional category indicating that the service category is related to physical activity Binding: US Core DiagnosticReport Category (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	US Core Report Code Binding: PA DiagnosticReport Types (extensible)
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Health care event when test ordered
effective[x]	SΣ	1..1		Time of the report or note
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(US Core Practitioner Profile | US Core Organization Profile)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:SupportedResult	S	0..*	ReferenceRest(PA Observation EVS Base S | PA Observation - Supporting, Activity-based S | PA Observation - Supporting, Time-based S | PA Observation - Supporting, Activity Group S)	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
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	SC	0..*	Attachment	Entire report as issued pa-dr-1: At least one of data and url must be present.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data	SC	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	PADiagnosticReportStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-status from this IG
DiagnosticReport.category	extensible	USCoreDiagnosticReportCategory http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category
DiagnosticReport.code	extensible	PADiagnosticReportType http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-type from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
pa-dr-1	error	DiagnosticReport.presentedForm	At least one of data and url must be present. : data.exists() or url.exists()

Summary

Mandatory: 1 element
Must-Support: 5 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Reference - RESTful (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest)
• PA Service Request (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-servicerequest)
• PA Observation EVS Base (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs)
• PA Observation - Supporting, Activity-based (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-measure)
• PA Observation - Supporting, Time-based (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-time-measure)
• PA Observation - Supporting, Activity Group (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-group)

Slices

This structure defines the following Slices:

• The element DiagnosticReport.basedOn is sliced based on the value of profile:resolve()
• The element DiagnosticReport.category is sliced based on the value of pattern:$this
• The element DiagnosticReport.result is sliced based on the value of profile:resolve()

Maturity: 2