NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• XML
• JSON

Resource Profile: Diagnostic Report

Reference:

• The Royal College of Radiologists Reporting networks - understanding the technical options
• NHS England Genomics DiagnosticReport use text descriptions only, not the rendered profile.

Usages:

• Refer to this Profile: Composition Genomic Report and ServiceRequest
• Examples for this Profile: DiagnosticReport/DiagnosticReportGenomicsReport

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:procedure		0..*	Reference(Procedure Genomic Study)	DiagnosticReport procedure URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportNumber	SOΣ	0..1	ReportNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
identifier:FillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:fillerOrderNumber	SO	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	SΣ	1..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). Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier	Σ	1..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..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). Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:diagnostic-implication	S	0..*	Reference(Observation Diagnostic Implication)	Observations
result:variant	S	0..*	Reference(Observation Variant)	Observations
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.basedOn:fillerOrderNumber.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​extension:performerFunction.​value[x]	Base	extensible	Performer Function Codes	📦4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.resultsInterpreter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.0.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**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()

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:procedure		0..*	Reference(Procedure Genomic Study)	DiagnosticReport procedure URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
Slices for identifier	S	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportNumber	SO	0..1	ReportNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
identifier:FillerOrderNumber	SO	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:fillerOrderNumber	SO	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	FillerOrderNumber	Logical reference, when literal reference is not known
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:coding
category:Genetics		1..1	CodeableConcept	Service category
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GE
code	S	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	1..1	Coding	Genomic Test Directory
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject		1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier		1..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	O	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effective[x]:effectiveDateTime	S	0..1	dateTime	Clinically relevant time/time-period for report
Slices for performer		1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:organisation		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Organization
identifier		1..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
resultsInterpreter:primaryReporter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:diagnostic-implication	S	0..*	Reference(Observation Diagnostic Implication)	Observations
result:variant	S	0..*	Reference(Observation Variant)	Observations
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	S	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.0.8	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:procedure		0..*	Reference(Procedure Genomic Study)	DiagnosticReport procedure URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportNumber	SOΣ	0..1	ReportNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
identifier:FillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
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	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:fillerOrderNumber	SO	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..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). Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (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	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
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: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
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	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
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	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	1..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
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	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	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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). Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (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
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
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	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
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	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:diagnostic-implication	S	0..*	Reference(Observation Diagnostic Implication)	Observations
result:variant	S	0..*	Reference(Observation Variant)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the 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
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
text	Σ	0..1	string	Plain text representation of the concept
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.basedOn.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.basedOn:fillerOrderNumber.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​extension:performerFunction.​value[x]	Base	extensible	Performer Function Codes	📦4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.resultsInterpreter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.0.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**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()

This structure is derived from DiagnosticReport

Summary

Mandatory: 14 elements(10 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Report Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/ReportNumber)
• Filler Order Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/FillerOrderNumber)
• CodeableReference (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CodeableReference)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSNumber)
• Encounter (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Encounter)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)
• Practitioner (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Practitioner)
• Organization (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode)
• Practitioner Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier)
• PractitionerRole (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole)
• Observation Diagnostic Implication (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-DiagnosticImplication)
• Observation Variant (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-Variant)
• Attachment (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NWAttachment)

Extensions

This structure refers to these extensions:

• https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier
• The element 1 is sliced based on the value of DiagnosticReport.basedOn
• The element 1 is sliced based on the value of DiagnosticReport.category
• The element 1 is sliced based on the value of DiagnosticReport.code.coding
• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.performer
• The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
• The element 1 is sliced based on the value of DiagnosticReport.result
• The element 1 is sliced based on the value of DiagnosticReport.conclusionCode.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:procedure		0..*	Reference(Procedure Genomic Study)	DiagnosticReport procedure URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportNumber	SOΣ	0..1	ReportNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
identifier:FillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:fillerOrderNumber	SO	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	SΣ	1..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). Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier	Σ	1..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..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). Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:diagnostic-implication	S	0..*	Reference(Observation Diagnostic Implication)	Observations
result:variant	S	0..*	Reference(Observation Variant)	Observations
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.basedOn:fillerOrderNumber.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​extension:performerFunction.​value[x]	Base	extensible	Performer Function Codes	📦4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.resultsInterpreter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.0.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**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()

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:procedure		0..*	Reference(Procedure Genomic Study)	DiagnosticReport procedure URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
Slices for identifier	S	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportNumber	SO	0..1	ReportNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
identifier:FillerOrderNumber	SO	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:fillerOrderNumber	SO	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	FillerOrderNumber	Logical reference, when literal reference is not known
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:coding
category:Genetics		1..1	CodeableConcept	Service category
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GE
code	S	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	1..1	Coding	Genomic Test Directory
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject		1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier		1..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	O	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effective[x]:effectiveDateTime	S	0..1	dateTime	Clinically relevant time/time-period for report
Slices for performer		1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:organisation		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Organization
identifier		1..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
resultsInterpreter:primaryReporter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:diagnostic-implication	S	0..*	Reference(Observation Diagnostic Implication)	Observations
result:variant	S	0..*	Reference(Observation Variant)	Observations
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	S	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.0.8	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:procedure		0..*	Reference(Procedure Genomic Study)	DiagnosticReport procedure URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportNumber	SOΣ	0..1	ReportNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
identifier:FillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
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	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:fillerOrderNumber	SO	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..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). Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (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	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
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: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
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	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
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	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	1..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
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	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	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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). Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (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
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
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	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
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	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..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). Required Pattern: Practitioner
identifier	Σ	1..1	PractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
Slices for result		0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
result:diagnostic-implication	S	0..*	Reference(Observation Diagnostic Implication)	Observations
result:variant	S	0..*	Reference(Observation Variant)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the 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
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
text	Σ	0..1	string	Plain text representation of the concept
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.basedOn.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.basedOn:fillerOrderNumber.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organisation.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​extension:performerFunction.​value[x]	Base	extensible	Performer Function Codes	📦4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:operator.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.resultsInterpreter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:primaryReporter.​identifier.system	Base	required	Practitioner Identifiers	📦0.0.8	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.0.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**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()

This structure is derived from DiagnosticReport

Summary

Mandatory: 14 elements(10 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Report Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/ReportNumber)
• Filler Order Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/FillerOrderNumber)
• CodeableReference (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CodeableReference)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSNumber)
• Encounter (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Encounter)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)
• Practitioner (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Practitioner)
• Organization (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode)
• Practitioner Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier)
• PractitionerRole (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole)
• Observation Diagnostic Implication (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-DiagnosticImplication)
• Observation Variant (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-Variant)
• Attachment (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NWAttachment)

Extensions

This structure refers to these extensions:

• https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReportProcedure
• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier
• The element 1 is sliced based on the value of DiagnosticReport.basedOn
• The element 1 is sliced based on the value of DiagnosticReport.category
• The element 1 is sliced based on the value of DiagnosticReport.code.coding
• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.performer
• The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
• The element 1 is sliced based on the value of DiagnosticReport.result
• The element 1 is sliced based on the value of DiagnosticReport.conclusionCode.coding