Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: ukcore-diag-lab-002
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource.
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report.
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history.
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn	S	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.virtually.healthcare/StructureDefinition/ext-codeable-reference
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:OriginatingReferralIdentifier	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the referrer
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	OriginatingReferralIdentifier	Logical reference, when literal reference is not known
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject	SΣ	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient.
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	Health care event when test ordered.
identifier	OΣ	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣ	0..*	Reference(Practitioner)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report.
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn:OriginatingReferralIdentifier.type	extensible	Pattern Value: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ukcore-diag-lab-002	error	DiagnosticReport	If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty : DiagnosticReport.media.extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link').empty() or DiagnosticReport.media.link.reference.empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier	S	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn	S	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:OriginatingReferralIdentifier	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the referrer
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	OriginatingReferralIdentifier	Logical reference, when literal reference is not known
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	S	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC		0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter		0..1	Reference(Encounter)	Health care event when test ordered.
identifier	O	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for report
performer	S	0..*	Reference(Practitioner)	Responsible Diagnostic Service
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings (Differential)

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: ukcore-diag-lab-002
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	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource.
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report.
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn	S	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.virtually.healthcare/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:OriginatingReferralIdentifier	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the referrer
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	OriginatingReferralIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(Patient | Group | Device | Location)	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	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..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)	Health care event when test ordered.
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	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣ	0..*	Reference(Practitioner)	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:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
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:deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report.
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:linkR5	N	0..*	Reference(DocumentReference)	Reference to the image or data source URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
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	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.basedOn:OriginatingReferralIdentifier.type	extensible	Pattern Value: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ukcore-diag-lab-002	error	DiagnosticReport	If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty : DiagnosticReport.media.extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link').empty() or DiagnosticReport.media.link.reference.empty()

Summary

Mandatory: 2 elements(5 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.virtually.healthcare/StructureDefinition/CorrelationIdentifier)
• CodeableReference (https://fhir.virtually.healthcare/StructureDefinition/CodeableReference)
• OriginatingReferralIdentifier (https://fhir.virtually.healthcare/StructureDefinition/OriginatingReferralIdentifier)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/NHSNumber)
• Encounter (https://fhir.virtually.healthcare/StructureDefinition/Encounter)
• Visit Number (https://fhir.virtually.healthcare/StructureDefinition/VisitNumber)
• Practitioner (https://fhir.virtually.healthcare/StructureDefinition/Practitioner)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: ukcore-diag-lab-002
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource.
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report.
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history.
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn	S	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.virtually.healthcare/StructureDefinition/ext-codeable-reference
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:OriginatingReferralIdentifier	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the referrer
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	OriginatingReferralIdentifier	Logical reference, when literal reference is not known
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject	SΣ	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient.
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	Health care event when test ordered.
identifier	OΣ	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣ	0..*	Reference(Practitioner)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report.
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn:OriginatingReferralIdentifier.type	extensible	Pattern Value: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ukcore-diag-lab-002	error	DiagnosticReport	If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty : DiagnosticReport.media.extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link').empty() or DiagnosticReport.media.link.reference.empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier	S	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn	S	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:OriginatingReferralIdentifier	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the referrer
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	OriginatingReferralIdentifier	Logical reference, when literal reference is not known
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	S	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:LOINC		0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
subject
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter		0..1	Reference(Encounter)	Health care event when test ordered.
identifier	O	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for report
performer	S	0..*	Reference(Practitioner)	Responsible Diagnostic Service
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings (Differential)

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: ukcore-diag-lab-002
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	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource.
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report.
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn	S	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.virtually.healthcare/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:OriginatingReferralIdentifier	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the referrer
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	OriginatingReferralIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	A code or name that describes this diagnostic report. Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: UK Core Report Code (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:LOINC	Σ	0..*	Coding	Code defined by a terminology system Binding: LOINCDiagnosticReportCodes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(Patient | Group | Device | Location)	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	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..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)	Health care event when test ordered.
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	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
performer	SΣ	0..*	Reference(Practitioner)	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:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
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:deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report.
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:linkR5	N	0..*	Reference(DocumentReference)	Reference to the image or data source URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
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	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.basedOn:OriginatingReferralIdentifier.type	extensible	Pattern Value: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:SNOMED	extensible	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:LOINC	extensible	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ukcore-diag-lab-002	error	DiagnosticReport	If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty : DiagnosticReport.media.extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link').empty() or DiagnosticReport.media.link.reference.empty()

Summary

Mandatory: 2 elements(5 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.virtually.healthcare/StructureDefinition/CorrelationIdentifier)
• CodeableReference (https://fhir.virtually.healthcare/StructureDefinition/CodeableReference)
• OriginatingReferralIdentifier (https://fhir.virtually.healthcare/StructureDefinition/OriginatingReferralIdentifier)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/NHSNumber)
• Encounter (https://fhir.virtually.healthcare/StructureDefinition/Encounter)
• Visit Number (https://fhir.virtually.healthcare/StructureDefinition/VisitNumber)
• Practitioner (https://fhir.virtually.healthcare/StructureDefinition/Practitioner)

Slices

This structure defines the following Slices:

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