Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON

Resource Profile: DiagnosticReport

Extension of UKCore-UKCore-DiagnosticReport, to include Royal College of Radiologists (HL7 v2 ORU), Digital Health and Care Wales HL7 v2 ORU and HL7 IPS DiagnosticReport

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from UKCoreDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	S	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC		0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for report
performer	S	0..*	Reference(Practitioner)	Responsible Diagnostic Service
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]	N	1..1	Reference(Composition)	Reference to a Composition resource.
mediaR5	N	1..*	(Complex)	Reference to a DocumentReference resource. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
Slices for extension	N	1..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:comment	N	0..*	Extension	Additional content defined by implementations
url		1..1	uri	"comment"
value[x]	N	1..1	string	Value of extension
extension:link	N	1..*	Extension	Additional content defined by implementations
url		1..1	uri	"link"
value[x]	N	1..1	Reference(UK Core Document Reference)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link"
noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]	N	1..1	Annotation	Comments about the diagnostic report.
supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for extension	N	2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type	N	1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
url		1..1	uri	"type"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:reference	N	1..1	Extension	Who or what participated in the activities related to the family member history.
url		1..1	uri	"reference"
value[x]	N	1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject	SΣC	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient. ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
encounter	SΣC	0..1	Reference(Encounter)	Health care event when test ordered. ref-1: SHALL have a contained resource if a local reference is provided
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣC	0..*	Reference(Practitioner)	Responsible Diagnostic Service ref-1: SHALL have a contained resource if a local reference is provided
Slices for extension				Content/Rules for all slices
deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
result	SC	0..*	Reference(Observation)	Observations that are part of this diagnostic report. ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
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	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]	N	1..1	Reference(Composition)	Reference to a Composition resource.
mediaR5	N	1..*	(Complex)	Reference to a DocumentReference resource. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	1..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:comment	N	0..*	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"comment"
value[x]	N	1..1	string	Value of extension
extension:link	N	1..*	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"link"
value[x]	N	1..1	Reference(UK Core Document Reference)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link"
noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]	N	1..1	Annotation	Comments about the diagnostic report.
supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type	N	1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:reference	N	1..1	Extension	Who or what participated in the activities related to the family member history.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reference"
value[x]	N	1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
basedOn	C	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested ref-1: SHALL have a contained resource if a local reference is provided
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient. ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	NHSNumbers	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣC	0..1	Reference(Encounter)	Health care event when test ordered. ref-1: SHALL have a contained resource if a local reference is provided
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣC	0..*	Reference(Practitioner)	Responsible Diagnostic Service ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	C	0..*	Reference(Specimen)	Specimens this report is based on ref-1: SHALL have a contained resource if a local reference is provided
result	SC	0..*	Reference(Observation)	Observations that are part of this diagnostic report. ref-1: SHALL have a contained resource if a local reference is provided
imagingStudy	C	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ref-1: SHALL have a contained resource if a local reference is provided
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	ΣC	1..1	Reference(Media)	Reference to the image source ref-1: SHALL have a contained resource if a local reference is provided
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	C	0..*	Attachment	Entire report as issued att-1: If the Attachment has data, it SHALL have a contentType
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
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	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from UKCoreDiagnosticReport

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Common Resource Identifiers (https://fhir.virtually.healthcare/StructureDefinition/CommonResourceIdentifiers)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/nhs-numbers)
• Practitioner (https://fhir.virtually.healthcare/StructureDefinition/Practitioner)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)

Differential View

This structure is derived from UKCoreDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	S	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC		0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for report
performer	S	0..*	Reference(Practitioner)	Responsible Diagnostic Service
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]	N	1..1	Reference(Composition)	Reference to a Composition resource.
mediaR5	N	1..*	(Complex)	Reference to a DocumentReference resource. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
Slices for extension	N	1..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:comment	N	0..*	Extension	Additional content defined by implementations
url		1..1	uri	"comment"
value[x]	N	1..1	string	Value of extension
extension:link	N	1..*	Extension	Additional content defined by implementations
url		1..1	uri	"link"
value[x]	N	1..1	Reference(UK Core Document Reference)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link"
noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]	N	1..1	Annotation	Comments about the diagnostic report.
supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for extension	N	2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type	N	1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
url		1..1	uri	"type"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:reference	N	1..1	Extension	Who or what participated in the activities related to the family member history.
url		1..1	uri	"reference"
value[x]	N	1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject	SΣC	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient. ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
encounter	SΣC	0..1	Reference(Encounter)	Health care event when test ordered. ref-1: SHALL have a contained resource if a local reference is provided
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣC	0..*	Reference(Practitioner)	Responsible Diagnostic Service ref-1: SHALL have a contained resource if a local reference is provided
Slices for extension				Content/Rules for all slices
deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
result	SC	0..*	Reference(Observation)	Observations that are part of this diagnostic report. ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
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	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]	N	1..1	Reference(Composition)	Reference to a Composition resource.
mediaR5	N	1..*	(Complex)	Reference to a DocumentReference resource. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	1..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:comment	N	0..*	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"comment"
value[x]	N	1..1	string	Value of extension
extension:link	N	1..*	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"link"
value[x]	N	1..1	Reference(UK Core Document Reference)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link"
noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]	N	1..1	Annotation	Comments about the diagnostic report.
supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type	N	1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:reference	N	1..1	Extension	Who or what participated in the activities related to the family member history.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reference"
value[x]	N	1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
basedOn	C	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested ref-1: SHALL have a contained resource if a local reference is provided
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient. ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	NHSNumbers	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣC	0..1	Reference(Encounter)	Health care event when test ordered. ref-1: SHALL have a contained resource if a local reference is provided
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣC	0..*	Reference(Practitioner)	Responsible Diagnostic Service ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	C	0..*	Reference(Specimen)	Specimens this report is based on ref-1: SHALL have a contained resource if a local reference is provided
result	SC	0..*	Reference(Observation)	Observations that are part of this diagnostic report. ref-1: SHALL have a contained resource if a local reference is provided
imagingStudy	C	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ref-1: SHALL have a contained resource if a local reference is provided
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	ΣC	1..1	Reference(Media)	Reference to the image source ref-1: SHALL have a contained resource if a local reference is provided
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	C	0..*	Attachment	Entire report as issued att-1: If the Attachment has data, it SHALL have a contentType
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
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	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from UKCoreDiagnosticReport

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Common Resource Identifiers (https://fhir.virtually.healthcare/StructureDefinition/CommonResourceIdentifiers)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/nhs-numbers)
• Practitioner (https://fhir.virtually.healthcare/StructureDefinition/Practitioner)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)

Other representations of profile: CSV, Excel, Schematron