Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
extension:studyR5		0..*	Reference()	Reference to full details of an analysis associated with the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfoR5		0..*	(Complex)	Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportIdentifier	SOΣ	0..1	ReportIdentifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:OrderIdentifier	SO	0..1	Reference(ServiceRequest)	Identifier assigned by the placer (ORC-2) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	OrderIdentifier	Logical reference, when literal reference is not known
status	?!Σ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	Σ	1..1	Reference(Patient)	Who and/or what this report is about
identifier	Σ	1..1	NHSIdentifier	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Hospital Spell)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report.
Slices for performer	Σ	0..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:organization	Σ	0..*	Reference(Practitioner | Organization)	The organization producer of this report
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service.
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
identifier	Σ	0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by value:resolve().code
result:diagnostic-implication	S	0..*	Reference(Diagnostic Implication (Observation))	results
result:variant	S	0..*	Reference(Variant (Observation))	results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.basedOn:OrderIdentifier.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.2.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.extension:studyR5, DiagnosticReport.extension:supportingInfoR5, DiagnosticReport.modifierExtension, DiagnosticReport.basedOn.extension:concept, DiagnosticReport.basedOn:OrderIdentifier.extension:concept, DiagnosticReport.performer.extension:performerFunction, DiagnosticReport.performer:organization.extension:performerFunction	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core
Slices for extension				Content/Rules for all slices
extension:studyR5		0..*	Reference()	Reference to full details of an analysis associated with the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfoR5		0..*	(Complex)	Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for identifier	S	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportIdentifier	SO	0..1	ReportIdentifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(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:OrderIdentifier	SO	0..1	Reference(ServiceRequest)	Identifier assigned by the placer (ORC-2) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	OrderIdentifier	Logical reference, when literal reference is not known
category		1..*	CodeableConcept	Service category
Slices for category				Content/Rules for all slices
category:Genetics		1..1	CodeableConcept	Service category
code	S	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	1..1	Coding	Genomic Test Directory
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject		1..1	Reference(Patient)	Who and/or what this report is about
identifier		1..1	NHSIdentifier	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Hospital Spell)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	O	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effective[x]:effectiveDateTime	S	0..1	dateTime	Clinically relevant time/time-period for report.
performer		0..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service.
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices for performer				Content/Rules for all slices
performer:organization		0..*	Reference(Practitioner | Organization)	The organization producer of this report
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices for resultsInterpreter				Content/Rules for all slices
resultsInterpreter:author		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by value:resolve().code
result:diagnostic-implication	S	0..*	Reference(Diagnostic Implication (Observation))	results
result:variant	S	0..*	Reference(Variant (Observation))	results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	S	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.2.1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		0..1	Annotation	Comments about the diagnostic 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:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/annotationType"
value[x]		1..1	CodeableConcept	Type of note Binding: hl7VS-commentType (example)
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
extension:studyR5		0..*	Reference()	Reference to full details of an analysis associated with the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfoR5		0..*	(Complex)	Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportIdentifier	SOΣ	0..1	ReportIdentifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:OrderIdentifier	SO	0..1	Reference(ServiceRequest)	Identifier assigned by the placer (ORC-2) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	OrderIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	Who and/or what this report is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	NHSIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Hospital Spell)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report.
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	0..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organization	Σ	0..*	Reference(Practitioner | Organization)	The organization producer of 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:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service.
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:author	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by value:resolve().code
result:diagnostic-implication	S	0..*	Reference(Diagnostic Implication (Observation))	results
result:variant	S	0..*	Reference(Variant (Observation))	results
imagingStudy		0..*	Reference(ImagingStudy)	Study subject to this report
media	Σ	0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image or data
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
text	Σ	0..1	string	Plain text representation of the concept
presentedForm	S	1..*	NWAttachment	Entire report as issued (pdf recommended)
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:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📦2.0.0	THO v7.0
DiagnosticReport.basedOn.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.basedOn:OrderIdentifier.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.performer:organization.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DiagnosticReport.resultsInterpreter:author.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.2.1	This IG

Constraints

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

Summary

Mandatory: 8 elements(10 nested mandatory elements)
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Report Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/ReportIdentifier)
• CodeableReference (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CodeableReference)
• Order Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• NHS Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier)
• Hospital Spell (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalSpell)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)
• Practitioner (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Practitioner)
• Organization (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode)
• PractitionerRole (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole)
• Practitioner Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier)
• Observation (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation)
• Diagnostic Implication (Observation) (https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticImplication)
• Variant (Observation) (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Variant)
• Attachment (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NWAttachment)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition (EU core))	Reference to a Composition resource for the DiagnosticReport structure
extension:note		0..*	(Complex)	Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
extension:studyR5		0..*	Reference()	Reference to full details of an analysis associated with the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfoR5		0..*	(Complex)	Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportIdentifier	SOΣ	0..1	ReportIdentifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:OrderIdentifier	SO	0..1	Reference(ServiceRequest)	Identifier assigned by the placer (ORC-2) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	OrderIdentifier	Logical reference, when literal reference is not known
status	?!Σ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:Genetics	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	1..1	Coding	Genomic Test Directory
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	Σ	1..1	Reference(Patient)	Who and/or what this report is about
identifier	Σ	1..1	NHSIdentifier	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Hospital Spell)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	OΣ	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report.
Slices for performer	Σ	0..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:organization	Σ	0..*	Reference(Practitioner | Organization)	The organization producer of this report
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service.
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
identifier	Σ	0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by value:resolve().code
result:diagnostic-implication	S	0..*	Reference(Diagnostic Implication (Observation))	results
result:variant	S	0..*	Reference(Variant (Observation))	results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	SΣ	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.basedOn:OrderIdentifier.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:Genetics	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.2.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.extension:studyR5, DiagnosticReport.extension:supportingInfoR5, DiagnosticReport.modifierExtension, DiagnosticReport.basedOn.extension:concept, DiagnosticReport.basedOn:OrderIdentifier.extension:concept, DiagnosticReport.performer.extension:performerFunction, DiagnosticReport.performer:organization.extension:performerFunction	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReportEuCore	Diagnostic Report EU core
Slices for extension				Content/Rules for all slices
extension:studyR5		0..*	Reference()	Reference to full details of an analysis associated with the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study
extension:supportingInfoR5		0..*	(Complex)	Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for identifier	S	1..*	CorrelationIdentifier	Business identifier for report Slice: Unordered, Open by value:type
identifier:ReportIdentifier	SO	0..1	ReportIdentifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Automation Manager
Slices for basedOn		0..*	CodeableReference(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:OrderIdentifier	SO	0..1	Reference(ServiceRequest)	Identifier assigned by the placer (ORC-2) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	OrderIdentifier	Logical reference, when literal reference is not known
category		1..*	CodeableConcept	Service category
Slices for category				Content/Rules for all slices
category:Genetics		1..1	CodeableConcept	Service category
code	S	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	1..1	Coding	Genomic Test Directory
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject		1..1	Reference(Patient)	Who and/or what this report is about
identifier		1..1	NHSIdentifier	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Hospital Spell)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	O	0..1	HospitalProviderSpellIdentifier	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effective[x]:effectiveDateTime	S	0..1	dateTime	Clinically relevant time/time-period for report.
performer		0..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service.
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices for performer				Content/Rules for all slices
performer:organization		0..*	Reference(Practitioner | Organization)	The organization producer of this report
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices for resultsInterpreter				Content/Rules for all slices
resultsInterpreter:author		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on.
Slices for result		0..*	Reference(Observation)	results Slice: Unordered, Open by value:resolve().code
result:diagnostic-implication	S	0..*	Reference(Diagnostic Implication (Observation))	results
result:variant	S	0..*	Reference(Variant (Observation))	results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestOutcomeCode	S	1..1	Coding	Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required)
presentedForm	S	1..*	NWAttachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.conclusionCode.​coding:GenomicTestOutcomeCode	Base	required	Genomic Test Outcome Codes	📦0.2.1	This IG