This structure is derived from DiagnosticReport.

Summary

This is a test summary lipids

Mandatory: 4 elements
Must-Support: 5 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• http://hl7.org/fhir/StructureDefinition/cholesterol
• http://hl7.org/fhir/StructureDefinition/triglyceride
• http://hl7.org/fhir/StructureDefinition/hdlcholesterol
• http://hl7.org/fhir/StructureDefinition/ldlcholesterol

Slices

This structure defines the following Slices:

• The element DiagnosticReport.result is sliced based on the value of value:resolve().code (ordered, Closed)

This indicates the differences between this profile and the base DiagnosticReport structure.

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		1..1	DiagnosticReport	Lipid Lab Report
code		1..1	CodeableConcept	LOINC Code for Lipid Panel with LDL 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57698-3
display		1..1	string	Representation defined by the system Fixed Value: Lipid panel with direct LDL - Serum or Plasma
Slices for result		3..4	Reference(Observation)	Observations Slice: Ordered, Closed by value:resolve().code
result:Cholesterol	S	1..1	Reference(Example Lipid Profile)	Cholesterol Result
result:Triglyceride	S	1..1	Reference(Example Lipid Profile)	Triglyceride Result
result:HDLCholesterol	S	1..1	Reference(Example Lipid Profile)	HDL Cholesterol Result
result:LDLCholesterol	S	0..1	Reference(Example Lipid Profile)	LDL Cholesterol result, if reported
conclusion	S	0..1	markdown	Clinical Interpretation of Lipid Panel
conclusionCode		0..0
Documentation for this format

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base DiagnosticReport structure.

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	1..1	DiagnosticReport	Lipid Lab Report dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
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: All Languages (required): IETF language tag for a human language Additional Bindings Purpose Common Languages Starter Set
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: Diagnostic Report Status (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): HL7 V2 table 0074
code	Σ	1..1	CodeableConcept	LOINC Code for Lipid Panel with LDL Binding: LOINC Diagnostic Report Codes (preferred): LOINC Codes for Diagnostic Reports 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57698-3
display		1..1	string	Representation defined by the system Fixed Value: Lipid panel with direct LDL - Serum or Plasma
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)	The subject of the report - usually, but not always, the patient
relatesTo		0..*	RelatedArtifact	Related DiagnosticReports
encounter	Σ	0..1	Reference(Encounter)	Encounter associated with the DiagnosticReport
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService)	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	C	3..4	Reference(Observation)	Observations Slice: Ordered, Closed by value:resolve().code
result:Cholesterol	SC	1..1	Reference(Example Lipid Profile)	Cholesterol Result
result:Triglyceride	SC	1..1	Reference(Example Lipid Profile)	Triglyceride Result
result:HDLCholesterol	SC	1..1	Reference(Example Lipid Profile)	HDL Cholesterol Result
result:LDLCholesterol	SC	0..1	Reference(Example Lipid Profile)	LDL Cholesterol result, if reported
note		0..*	Annotation	Comments about the diagnostic report
study		0..*	Reference(GenomicStudy | ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic 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
type		1..1	CodeableConcept	Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
reference		1..1	Reference(ImagingStudy | Procedure | Observation | DiagnosticReport | Citation | FamilyMemberHistory | AllergyIntolerance | DeviceUsage)	Supporting information reference
media	Σ	0..*	BackboneElement	Key images or data 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 or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	C	0..1	Reference(Composition)	Reference to a Composition resource for the DiagnosticReport structure
conclusion	S	0..1	markdown	Clinical Interpretation of Lipid Panel
recomendation	Σ	0..*	CodeableReference(Resource)	Recommendations based on findings and interpretations
presentedForm		0..*	Attachment	Entire report as issued
communication		0..*	Reference(Communication)	Communication initiated during the reporting process
Documentation for this format

<!-- ExampleLipidProfile -->

<DiagnosticReport xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 
     Business identifier for report --></identifier>
 <basedOn><!-- I 0..* Reference(CarePlan) What was requested --></basedOn>
 <status value="[code]"/><!-- I 1..1 registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown   -->
 <category><!-- I 0..* CodeableConcept Service category   --></category>
 <code><!-- I 1..1 CodeableConcept LOINC Code for Lipid Panel with LDL   --></code>
 <subject><!-- I 0..1 Reference(Patient) 
     The subject of the report - usually, but not always, the patient --></subject>
 <relatesTo><!-- I 0..* RelatedArtifact 
     Related DiagnosticReports --></relatesTo>
 <encounter><!-- I 0..1 Reference(Encounter) 
     Encounter associated with the DiagnosticReport --></encounter>
 <effective[x]><!-- I 0..1 dateTime|Period 
     Clinically relevant time/time-period for report --></effective[x]>
 <issued value="[instant]"/><!-- I 0..1 DateTime this version was made -->
 <performer><!-- I 0..* Reference(Practitioner) 
     Responsible Diagnostic Service --></performer>
 <resultsInterpreter><!-- I 0..* Reference(Practitioner) 
     Primary result interpreter --></resultsInterpreter>
 <specimen><!-- I 0..* Reference(Specimen) 
     Specimens this report is based on --></specimen>
 <-- result sliced by value:resolve().code  in any order-->
 <result><!-- I 1..1 Reference(ExampleLipidProfile) Cholesterol Result --></result>
 <result><!-- I 1..1 Reference(ExampleLipidProfile) Triglyceride Result --></result>
 <result><!-- I 1..1 Reference(ExampleLipidProfile) HDL Cholesterol Result --></result>
 <result><!-- I 0..1 Reference(ExampleLipidProfile) 
     LDL Cholesterol result, if reported --></result>
 <note><!-- I 0..* Annotation 
     Comments about the diagnostic report --></note>
 <study><!-- I 0..* Reference(GenomicStudy) 
     Reference to full details of an analysis associated with the diagnostic report --></study>
 <supportingInfo> I 0..* BackboneElement  <!-- I 0..* Additional information supporting the diagnostic report -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <type><!-- I 1..1 CodeableConcept Supporting information role code    --></type>
  <reference><!-- I 1..1 Reference(ImagingStudy) 
      Supporting information reference --></reference>
 </supportingInfo>
 <media> I 0..* BackboneElement  <!-- I 0..* Key images or data associated with this report -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <comment value="[string]"/><!-- I 0..1 Comment about the image or data (e.g. explanation) -->
  <link><!-- I 1..1 Reference(DocumentReference) 
      Reference to the image or data source --></link>
 </media>
 <composition><!-- I 0..1 Reference(Composition) 
     Reference to a Composition resource for the DiagnosticReport structure --></composition>
 <conclusion value="[markdown]"/><!-- I 0..1 Clinical Interpretation of Lipid Panel -->
 <conclusionCode><!-- I 0..0 CodeableReference No codes for a lipid panel   --></conclusionCode>
 <recomendation><!-- I 0..* CodeableReference 
     Recommendations based on findings and interpretations --></recomendation>
 <presentedForm><!-- I 0..* Attachment 
     Entire report as issued --></presentedForm>
 <communication><!-- I 0..* Reference(Communication) 
     Communication initiated during the reporting process --></communication>
</DiagnosticReport>

{ // ExampleLipidProfile
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IBusiness identifier for report
    "basedOn" : [{ Reference(CarePlan) }], // IWhat was requested
    "status" : "<code>", // I R! registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
    "category" : [{ CodeableConcept }], // IService category
    "code" : { CodeableConcept }, // I R! LOINC Code for Lipid Panel with LDL
    "subject" : { Reference(Patient) }, // IThe subject of the report - usually, but not always, the patient
    "relatesTo" : [{ RelatedArtifact }], // IRelated DiagnosticReports
    "encounter" : { Reference(Encounter) }, // IEncounter associated with the DiagnosticReport
  // value[x]: Clinically relevant time/time-period for report. One of these 2:
    "effectiveDateTime" : "<dateTime>", // IClinically relevant time/time-period for report
    "effectivePeriod" : { Period }, // IClinically relevant time/time-period for report
    "issued" : "<instant>", // IDateTime this version was made
    "performer" : [{ Reference(Practitioner) }], // IResponsible Diagnostic Service
    "resultsInterpreter" : [{ Reference(Practitioner) }], // IPrimary result interpreter
    "specimen" : [{ Reference(Specimen) }], // ISpecimens this report is based on
    "result" : [ //  sliced by value:resolve().code  in any order,  
      { // Cholesterol Result // I R! 
        // from Element: extension
      },
      { // Triglyceride Result // I R! 
        // from Element: extension
      },
      { // HDL Cholesterol Result // I R! 
        // from Element: extension
      },
      { // LDL Cholesterol result, if reported // I
        // from Element: extension
      }
    ],
    "note" : [{ Annotation }], // IComments about the diagnostic report
    "study" : [{ Reference(GenomicStudy) }], // IReference to full details of an analysis associated with the diagnostic report
    "supportingInfo" : [{ BackboneElement }], // IAdditional information supporting the diagnostic report
    "media" : [{ BackboneElement }], // IKey images or data associated with this report
    "composition" : { Reference(Composition) }, // IReference to a Composition resource for the DiagnosticReport structure
    "conclusion" : "<markdown>", // IClinical Interpretation of Lipid Panel
    "recomendation" : [{ CodeableReference(Resource) }], // IRecommendations based on findings and interpretations
    "presentedForm" : [{ Attachment }], // IEntire report as issued
    "communication" : [{ Reference(Communication) }], // ICommunication initiated during the reporting process
  }

Summary

This is a test summary lipids

Mandatory: 4 elements
Must-Support: 5 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• http://hl7.org/fhir/StructureDefinition/cholesterol
• http://hl7.org/fhir/StructureDefinition/triglyceride
• http://hl7.org/fhir/StructureDefinition/hdlcholesterol
• http://hl7.org/fhir/StructureDefinition/ldlcholesterol

Slices

This structure defines the following Slices:

• The element DiagnosticReport.result is sliced based on the value of value:resolve().code (ordered, Closed)

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base DiagnosticReport structure.

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	1..1	DiagnosticReport	Lipid Lab Report dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
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: All Languages (required): IETF language tag for a human language Additional Bindings Purpose Common Languages Starter Set
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: Diagnostic Report Status (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): HL7 V2 table 0074
code	Σ	1..1	CodeableConcept	LOINC Code for Lipid Panel with LDL Binding: LOINC Diagnostic Report Codes (preferred): LOINC Codes for Diagnostic Reports 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57698-3
display		1..1	string	Representation defined by the system Fixed Value: Lipid panel with direct LDL - Serum or Plasma
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)	The subject of the report - usually, but not always, the patient
relatesTo		0..*	RelatedArtifact	Related DiagnosticReports
encounter	Σ	0..1	Reference(Encounter)	Encounter associated with the DiagnosticReport
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService)	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	C	3..4	Reference(Observation)	Observations Slice: Ordered, Closed by value:resolve().code
result:Cholesterol	SC	1..1	Reference(Example Lipid Profile)	Cholesterol Result
result:Triglyceride	SC	1..1	Reference(Example Lipid Profile)	Triglyceride Result
result:HDLCholesterol	SC	1..1	Reference(Example Lipid Profile)	HDL Cholesterol Result
result:LDLCholesterol	SC	0..1	Reference(Example Lipid Profile)	LDL Cholesterol result, if reported
note		0..*	Annotation	Comments about the diagnostic report
study		0..*	Reference(GenomicStudy | ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic 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
type		1..1	CodeableConcept	Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
reference		1..1	Reference(ImagingStudy | Procedure | Observation | DiagnosticReport | Citation | FamilyMemberHistory | AllergyIntolerance | DeviceUsage)	Supporting information reference
media	Σ	0..*	BackboneElement	Key images or data 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 or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	C	0..1	Reference(Composition)	Reference to a Composition resource for the DiagnosticReport structure
conclusion	S	0..1	markdown	Clinical Interpretation of Lipid Panel
recomendation	Σ	0..*	CodeableReference(Resource)	Recommendations based on findings and interpretations
presentedForm		0..*	Attachment	Entire report as issued
communication		0..*	Reference(Communication)	Communication initiated during the reporting process
Documentation for this format

<!-- ExampleLipidProfile -->

<DiagnosticReport xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 
     Business identifier for report --></identifier>
 <basedOn><!-- I 0..* Reference(CarePlan) What was requested --></basedOn>
 <status value="[code]"/><!-- I 1..1 registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown   -->
 <category><!-- I 0..* CodeableConcept Service category   --></category>
 <code><!-- I 1..1 CodeableConcept LOINC Code for Lipid Panel with LDL   --></code>
 <subject><!-- I 0..1 Reference(Patient) 
     The subject of the report - usually, but not always, the patient --></subject>
 <relatesTo><!-- I 0..* RelatedArtifact 
     Related DiagnosticReports --></relatesTo>
 <encounter><!-- I 0..1 Reference(Encounter) 
     Encounter associated with the DiagnosticReport --></encounter>
 <effective[x]><!-- I 0..1 dateTime|Period 
     Clinically relevant time/time-period for report --></effective[x]>
 <issued value="[instant]"/><!-- I 0..1 DateTime this version was made -->
 <performer><!-- I 0..* Reference(Practitioner) 
     Responsible Diagnostic Service --></performer>
 <resultsInterpreter><!-- I 0..* Reference(Practitioner) 
     Primary result interpreter --></resultsInterpreter>
 <specimen><!-- I 0..* Reference(Specimen) 
     Specimens this report is based on --></specimen>
 <-- result sliced by value:resolve().code  in any order-->
 <result><!-- I 1..1 Reference(ExampleLipidProfile) Cholesterol Result --></result>
 <result><!-- I 1..1 Reference(ExampleLipidProfile) Triglyceride Result --></result>
 <result><!-- I 1..1 Reference(ExampleLipidProfile) HDL Cholesterol Result --></result>
 <result><!-- I 0..1 Reference(ExampleLipidProfile) 
     LDL Cholesterol result, if reported --></result>
 <note><!-- I 0..* Annotation 
     Comments about the diagnostic report --></note>
 <study><!-- I 0..* Reference(GenomicStudy) 
     Reference to full details of an analysis associated with the diagnostic report --></study>
 <supportingInfo> I 0..* BackboneElement  <!-- I 0..* Additional information supporting the diagnostic report -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <type><!-- I 1..1 CodeableConcept Supporting information role code    --></type>
  <reference><!-- I 1..1 Reference(ImagingStudy) 
      Supporting information reference --></reference>
 </supportingInfo>
 <media> I 0..* BackboneElement  <!-- I 0..* Key images or data associated with this report -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <comment value="[string]"/><!-- I 0..1 Comment about the image or data (e.g. explanation) -->
  <link><!-- I 1..1 Reference(DocumentReference) 
      Reference to the image or data source --></link>
 </media>
 <composition><!-- I 0..1 Reference(Composition) 
     Reference to a Composition resource for the DiagnosticReport structure --></composition>
 <conclusion value="[markdown]"/><!-- I 0..1 Clinical Interpretation of Lipid Panel -->
 <conclusionCode><!-- I 0..0 CodeableReference No codes for a lipid panel   --></conclusionCode>
 <recomendation><!-- I 0..* CodeableReference 
     Recommendations based on findings and interpretations --></recomendation>
 <presentedForm><!-- I 0..* Attachment 
     Entire report as issued --></presentedForm>
 <communication><!-- I 0..* Reference(Communication) 
     Communication initiated during the reporting process --></communication>
</DiagnosticReport>

{ // ExampleLipidProfile
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IBusiness identifier for report
    "basedOn" : [{ Reference(CarePlan) }], // IWhat was requested
    "status" : "<code>", // I R! registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
    "category" : [{ CodeableConcept }], // IService category
    "code" : { CodeableConcept }, // I R! LOINC Code for Lipid Panel with LDL
    "subject" : { Reference(Patient) }, // IThe subject of the report - usually, but not always, the patient
    "relatesTo" : [{ RelatedArtifact }], // IRelated DiagnosticReports
    "encounter" : { Reference(Encounter) }, // IEncounter associated with the DiagnosticReport
  // value[x]: Clinically relevant time/time-period for report. One of these 2:
    "effectiveDateTime" : "<dateTime>", // IClinically relevant time/time-period for report
    "effectivePeriod" : { Period }, // IClinically relevant time/time-period for report
    "issued" : "<instant>", // IDateTime this version was made
    "performer" : [{ Reference(Practitioner) }], // IResponsible Diagnostic Service
    "resultsInterpreter" : [{ Reference(Practitioner) }], // IPrimary result interpreter
    "specimen" : [{ Reference(Specimen) }], // ISpecimens this report is based on
    "result" : [ //  sliced by value:resolve().code  in any order,  
      { // Cholesterol Result // I R! 
        // from Element: extension
      },
      { // Triglyceride Result // I R! 
        // from Element: extension
      },
      { // HDL Cholesterol Result // I R! 
        // from Element: extension
      },
      { // LDL Cholesterol result, if reported // I
        // from Element: extension
      }
    ],
    "note" : [{ Annotation }], // IComments about the diagnostic report
    "study" : [{ Reference(GenomicStudy) }], // IReference to full details of an analysis associated with the diagnostic report
    "supportingInfo" : [{ BackboneElement }], // IAdditional information supporting the diagnostic report
    "media" : [{ BackboneElement }], // IKey images or data associated with this report
    "composition" : { Reference(Composition) }, // IReference to a Composition resource for the DiagnosticReport structure
    "conclusion" : "<markdown>", // IClinical Interpretation of Lipid Panel
    "recomendation" : [{ CodeableReference(Resource) }], // IRecommendations based on findings and interpretations
    "presentedForm" : [{ Attachment }], // IEntire report as issued
    "communication" : [{ Reference(Communication) }], // ICommunication initiated during the reporting process
  }