Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build United Kingdom flag

Patient Care Coordination (PCC) Implementation Guide - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DiagnosticReport

Official URL: https://fhir.virtually.healthcare/StructureDefinition/DiagnosticReport Version: 0.1.1-current
Draft as of 2025-11-05 Computable Name: DiagnosticReport

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

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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:PatientPathwayIdentifier 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 PatientPathwayIdentifier 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 HospitalProviderSpellIdentifier Episode or Stay ID (HL7 v2 PV1-19 Visit Number)
ObligationsActor
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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:supportingInfoR5.​extension:type<br/>[] Base example hl7VS-VS-observationType 📦2.0.0 THO v6.5
DiagnosticReport.basedOn:PatientPathwayIdentifier.​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.code Base preferred UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:SNOMED Base extensible UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:LOINC Base extensible LOINC Diagnostic Report Codes 📦4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

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()
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()

This structure is derived from UKCoreDiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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:PatientPathwayIdentifier 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 PatientPathwayIdentifier 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 HospitalProviderSpellIdentifier Episode or Stay ID (HL7 v2 PV1-19 Visit Number)
ObligationsActor
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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code.​coding:SNOMED Base extensible UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:LOINC Base extensible LOINC Diagnostic Report Codes 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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:PatientPathwayIdentifier 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 PatientPathwayIdentifier 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 HospitalProviderSpellIdentifier Episode or Stay ID (HL7 v2 PV1-19 Visit Number)
ObligationsActor
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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DiagnosticReport.extension:supportingInfoR5.​extension:type<br/>[] Base example hl7VS-VS-observationType 📦2.0.0 THO v6.5
DiagnosticReport.basedOn.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.basedOn:PatientPathwayIdentifier.​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.code Base preferred UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:SNOMED Base extensible UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:LOINC Base extensible 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.resultsInterpreter.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

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()
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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:PatientPathwayIdentifier 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 PatientPathwayIdentifier 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 HospitalProviderSpellIdentifier Episode or Stay ID (HL7 v2 PV1-19 Visit Number)
ObligationsActor
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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:supportingInfoR5.​extension:type<br/>[] Base example hl7VS-VS-observationType 📦2.0.0 THO v6.5
DiagnosticReport.basedOn:PatientPathwayIdentifier.​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.code Base preferred UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:SNOMED Base extensible UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:LOINC Base extensible LOINC Diagnostic Report Codes 📦4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

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()
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()

Differential View

This structure is derived from UKCoreDiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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:PatientPathwayIdentifier 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 PatientPathwayIdentifier 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 HospitalProviderSpellIdentifier Episode or Stay ID (HL7 v2 PV1-19 Visit Number)
ObligationsActor
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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code.​coding:SNOMED Base extensible UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:LOINC Base extensible LOINC Diagnostic Report Codes 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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:PatientPathwayIdentifier 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 PatientPathwayIdentifier 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 HospitalProviderSpellIdentifier Episode or Stay ID (HL7 v2 PV1-19 Visit Number)
ObligationsActor
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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DiagnosticReport.extension:supportingInfoR5.​extension:type<br/>[] Base example hl7VS-VS-observationType 📦2.0.0 THO v6.5
DiagnosticReport.basedOn.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.basedOn:PatientPathwayIdentifier.​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.code Base preferred UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:SNOMED Base extensible UK Core Report Code 📦1.0.0 fhir.r4.ukcore.stu3.currentbuild v0.0
DiagnosticReport.code.​coding:LOINC Base extensible 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.resultsInterpreter.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

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()
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()

 

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