Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport	This profile also complies with the profile US Core DiagnosticReport Profile for Laboratory Results Reporting
code		1..1	CodeableConcept	Code for CGM Summary report 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/uv/cgm/CodeSystem/cgm-summary-codes-temporary
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cgm-summary
subject	S	1..1	Reference(Patient | Group | Device | Location)	Patient for the report
Slices for effective[x]		1..1	Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod	S	1..1	Period	Clinically relevant time/time-period for report
start	S	1..1	dateTime	Start date of the reporting period (YYYY-MM-DD)
end	S	1..1	dateTime	End date of the reporting period (YYYY-MM-DD)
Slices for result		0..*	Reference(Observation)	CGM Summary observation Slice: Unordered, Open by value:resolve().code
result:cgmSummary	S	0..*	Reference(CGM Summary Observation)	CGM Summary observation
Slices for presentedForm		1..*	Attachment	CGM Summary PDF report Slice: Unordered, Open by value:contentType
presentedForm:cgmSummaryPDF	S	1..*	Attachment	Entire report as issued
contentType		1..1	code	PDF content type Required Pattern: application/pdf
data	S	1..1	base64Binary	Base64-encoded PDF report data
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also complies with the profile US Core DiagnosticReport Profile for Laboratory Results Reporting dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Code for CGM Summary report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children 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/uv/cgm/CodeSystem/cgm-summary-codes-temporary
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cgm-summary
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Patient for the report ele-1: All FHIR elements must have a @value or children
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
effective[x]:effectivePeriod	SΣ	1..1	Period	Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Start date of the reporting period (YYYY-MM-DD) ele-1: All FHIR elements must have a @value or children
end	SΣC	1..1	dateTime	End date of the reporting period (YYYY-MM-DD) ele-1: All FHIR elements must have a @value or children
Slices for result		0..*	Reference(Observation)	CGM Summary observation Slice: Unordered, Open by value:resolve().code ele-1: All FHIR elements must have a @value or children
result:cgmSummary	S	0..*	Reference(CGM Summary Observation)	CGM Summary observation ele-1: All FHIR elements must have a @value or children
Slices for presentedForm		1..*	Attachment	CGM Summary PDF report Slice: Unordered, Open by value:contentType ele-1: All FHIR elements must have a @value or children
presentedForm:cgmSummaryPDF	S	1..*	Attachment	Entire report as issued ele-1: All FHIR elements must have a @value or children
contentType	Σ	1..1	code	PDF content type Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ele-1: All FHIR elements must have a @value or children Required Pattern: application/pdf
data	S	1..1	base64Binary	Base64-encoded PDF report data ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: cgm-summary http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.presentedForm:cgmSummaryPDF.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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also complies with the profile US Core DiagnosticReport Profile for Laboratory Results Reporting
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 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
modifierExtension	?!	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 | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Code for CGM Summary report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe 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://hl7.org/fhir/uv/cgm/CodeSystem/cgm-summary-codes-temporary
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cgm-summary
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
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Patient for the report
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	SΣ	1..1	Period	Clinically relevant time/time-period for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Start date of the reporting period (YYYY-MM-DD)
end	SΣC	1..1	dateTime	End date of the reporting period (YYYY-MM-DD)
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	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
Slices for result		0..*	Reference(Observation)	CGM Summary observation Slice: Unordered, Open by value:resolve().code
result:cgmSummary	S	0..*	Reference(CGM Summary Observation)	CGM Summary observation
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.
Slices for presentedForm		1..*	Attachment	CGM Summary PDF report Slice: Unordered, Open by value:contentType
presentedForm:cgmSummaryPDF	S	1..*	Attachment	Entire report as issued
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	1..1	code	PDF content type 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	S	1..1	base64Binary	Base64-encoded PDF report data
url	Σ	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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: cgm-summary http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm:cgmSummaryPDF.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm:cgmSummaryPDF.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

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()

Summary

Mandatory: 9 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• CGM Summary Observation (http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.result
• The element 1 is sliced based on the value of DiagnosticReport.presentedForm

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport	This profile also complies with the profile US Core DiagnosticReport Profile for Laboratory Results Reporting
code		1..1	CodeableConcept	Code for CGM Summary report 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/uv/cgm/CodeSystem/cgm-summary-codes-temporary
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cgm-summary
subject	S	1..1	Reference(Patient | Group | Device | Location)	Patient for the report
Slices for effective[x]		1..1	Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod	S	1..1	Period	Clinically relevant time/time-period for report
start	S	1..1	dateTime	Start date of the reporting period (YYYY-MM-DD)
end	S	1..1	dateTime	End date of the reporting period (YYYY-MM-DD)
Slices for result		0..*	Reference(Observation)	CGM Summary observation Slice: Unordered, Open by value:resolve().code
result:cgmSummary	S	0..*	Reference(CGM Summary Observation)	CGM Summary observation
Slices for presentedForm		1..*	Attachment	CGM Summary PDF report Slice: Unordered, Open by value:contentType
presentedForm:cgmSummaryPDF	S	1..*	Attachment	Entire report as issued
contentType		1..1	code	PDF content type Required Pattern: application/pdf
data	S	1..1	base64Binary	Base64-encoded PDF report data
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also complies with the profile US Core DiagnosticReport Profile for Laboratory Results Reporting dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Code for CGM Summary report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children 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/uv/cgm/CodeSystem/cgm-summary-codes-temporary
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cgm-summary
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Patient for the report ele-1: All FHIR elements must have a @value or children
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
effective[x]:effectivePeriod	SΣ	1..1	Period	Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Start date of the reporting period (YYYY-MM-DD) ele-1: All FHIR elements must have a @value or children
end	SΣC	1..1	dateTime	End date of the reporting period (YYYY-MM-DD) ele-1: All FHIR elements must have a @value or children
Slices for result		0..*	Reference(Observation)	CGM Summary observation Slice: Unordered, Open by value:resolve().code ele-1: All FHIR elements must have a @value or children
result:cgmSummary	S	0..*	Reference(CGM Summary Observation)	CGM Summary observation ele-1: All FHIR elements must have a @value or children
Slices for presentedForm		1..*	Attachment	CGM Summary PDF report Slice: Unordered, Open by value:contentType ele-1: All FHIR elements must have a @value or children
presentedForm:cgmSummaryPDF	S	1..*	Attachment	Entire report as issued ele-1: All FHIR elements must have a @value or children
contentType	Σ	1..1	code	PDF content type Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ele-1: All FHIR elements must have a @value or children Required Pattern: application/pdf
data	S	1..1	base64Binary	Base64-encoded PDF report data ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: cgm-summary http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.presentedForm:cgmSummaryPDF.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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports This profile also complies with the profile US Core DiagnosticReport Profile for Laboratory Results Reporting
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 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
modifierExtension	?!	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 | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Code for CGM Summary report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe 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://hl7.org/fhir/uv/cgm/CodeSystem/cgm-summary-codes-temporary
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cgm-summary
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
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Patient for the report
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	SΣ	1..1	Period	Clinically relevant time/time-period for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Start date of the reporting period (YYYY-MM-DD)
end	SΣC	1..1	dateTime	End date of the reporting period (YYYY-MM-DD)
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	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
Slices for result		0..*	Reference(Observation)	CGM Summary observation Slice: Unordered, Open by value:resolve().code
result:cgmSummary	S	0..*	Reference(CGM Summary Observation)	CGM Summary observation
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.
Slices for presentedForm		1..*	Attachment	CGM Summary PDF report Slice: Unordered, Open by value:contentType
presentedForm:cgmSummaryPDF	S	1..*	Attachment	Entire report as issued
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	1..1	code	PDF content type 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	S	1..1	base64Binary	Base64-encoded PDF report data
url	Σ	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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: cgm-summary http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm:cgmSummaryPDF.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm:cgmSummaryPDF.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

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()

Summary

Mandatory: 9 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• CGM Summary Observation (http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.result
• The element 1 is sliced based on the value of DiagnosticReport.presentedForm